HomeMy Public PortalAbout8743 BURGHARDT RD_Plumbing__ 76A667;.S#.QI7 t2-66
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ADDRESS 8743 Bur hardt
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, EUP'T OF BUILDING LOCALITY San Gabriel
FOR APPLICANT TO FILL IN NEAREST
CH RE sr. Muscatel & Burghardt
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET E1.2s 2 50 OWNER John J. Bur hardt
.ADDRESS
MAIL #12 Holsted Circle
1 BATH TUB 1.25
1125 pp
T 2J+071
1 SHOWER - 1.25 1 25 'CITY Alhambra TEL. N6:
LAVATORY 1.25 j 75 .CONTRACTOR Plumbing CO.
SINK 1., IJ ADDRESS 851 W . Front St.
1 DISHWASHER 1.25 1 25 CITY Covina TEL. N0.339-24'79
LAUNDRY TUB 1.25 RE 5 RAS ON N0.2328 3 COUNTY 0
1 CLOTHES WASHER 1.25 1 25 DISTR,IIC NO. GBf P ZONE O B
WATER HEATER L 1.50 1 50 J QLe
CAS SYSTEM 6 OUTLETS 1'S0 1 5 0 STRIAL
WASTE APPROVAL d
OUTLETS EVER 5 PER SYSTEM .00 INSPECTION RECORD CO.I
0
O
H
V
W
d
N
2
APPROVALS DATE IISPECT ' SIGNATURE
PERMIT IREGULAT...
2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE17 80
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE REPPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANTO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATEGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLYED ANO/OR PLUMBING FIXTURESLICENSEO AS REOUIREO BY LOS ANGELES CSTATE OF GAS TESTCALIFORNIA ORTHAT 1 AM THE LEGAL OWNEINTEND TORESIDE IN.THE ABOVE O SCRIBED RESIDENTIAL . UTILITY CO. NOTIFIED �V
SIGNATURE ^ N
OF PERMITTE
FINAL
j VALIDATION ROBERT A. WOOD
` cK. M.0. CASH SUPERVISING MECHANICAL ENG'R
L.ACo 7 3 0 0 NOV 12 5 A 1 7.8 0- Q