HomeMy Public PortalAbout9232 BROADWAY_Plumbing__ 76Ab#CER6.I7 9/63 �� _
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 9232 Broadway
JOHN A. LAMBIE. COUNTY ENGINEER y
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Tem le,Glt
FOR APPLICANT TO FILL IN NEAREST.
NUMBER FIXTURE OR ITEM EACH FEE
3 WATER CLOSET $1.25 3 75 OWNER J. B. Weber Dev, Co.
y-- MAIL
BATH NB 1.25 2 GDBESS 5926 Temple City Blvd.
1 SHOWER 1.25 1 25 ,CITY Temple City TEL. NO.
3 LAVATORY 1.25 3 75 CONTRACTORValley Plumbing Co. of Glendor
1 SINK 1.25 1 25 ADDRESS 4/2 W..Fleetwood Place
1 DISHWASHER 1.25 1 25 CITY Glendora TEL. NO. Ed 51293
LAUNDRY TUB 1.25
CONTRACTOR'S 209431 STATE p
REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER L25 1 2 DICT O. CLOSIP ZONE PROCESSED BY
1 WATER HEATER 1.50 1 5C V
1 CAS SYSTEM OUTLETS- 1'50 1 50 INDUSTRIAL a
WASTE APPROVAL
1 OUTLETS OVER 5 PER SYSTEM 70 u
1 INSPECTION RECORD
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APPF LS DATE INSPECYO 'S SIGNATUR€
PERMIT S 2 00 UNDER BLA1R WORK y'
ROUGH PLUMBING Lr J /fA0
TOTAL FEE IG 3G GAS PIPING I
B+r Y fI/
IME REDY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO SATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
7
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �n
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO '�'IY�/C.�1 LI
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED ry / • T
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SIGNATURE
OF PERMITTEE
FINAL T .✓yl,/�f
LIDATION ROBERT AFWOOD
CASH SUPERVISING MECHANICAL ENG'R
L''d08774—� FEB19 5 D 2030