HomeMy Public PortalAbout10560 BOGUE ST_Plumbing__ � ,
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APPLICATION FOR PLUMBI � G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 10560 Bogue
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
Temple City
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FOR APPLICANT TO FILL INNEAREST
- 4 CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Noel Baldwin
WATER CLOSET $1.25 MAIL
1 BATH TUB 1,25 1 25 1
ADDRESS
2 SHOWER 1.25 2 O CITY TEL. NO.
LAVATORY 1,25 3 75
CONTRACTOR Owen Bros Plumbing
1 SINE 1,25 1 2 ADDRESS 4265 No,, Baldwin
1 DISHWASHER 1.25 1 25 CITY El Note TEL. No. 443-00 78
COCTOR'S STATE
LAUNDRY TUB 1.25 REGINSTRAT ON NO. 197184 COUNTY ❑
1 CLOTHES WASHER 1.85 1 25 DISTRICT NO. GROUP I ZONE PRCFfSSED BY
1 WATER HEATER 1.50 1 50 / �� ���1� "L•,
I GAS SYSTEM OUTLETS 1.50 ] 50 INDUSTRIAL ; (L
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT .$ 2 00 UNDER SLAB WORK
ROUGH PLUMBING ,.
TOTAL FEE 2Q 00 GAS PIPING
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �--
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABO DES IBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE —
F
OPERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
cK M,O CASH SUPERVISING MECHANICAL ENG'R
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