HomeMy Public PortalAbout6004 BURTON AVE_Plumbing__ S6A667 (C E-817)-4/72
APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE '!'O: BUILDING
ADDRESS 600 N Burton.Ave.
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY San Ba Gabriel
FOR APPLICANT TO FILL IN (PRINT OR TV PEI NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 `7j ,�D OWNER Bade Construction
MAIL
BATH TUB 1.75 ADDRESS 20 Birchcroft
/ SHOWER 1.75 CITY Arnn(iinTEL. NO.
LAVATORY 1,75 � t CONTRACTOR Wen Bros Plumbing, Inc.
` SINK 1.75 • � ADDRESS L,265 N Baldwin AVe
DISHWASHER 1.75 Jl CITY gl Monte TEL. NO. -0078
/ CLOTHES WASHER 1.75 �` STATE
LICENSE NO.Q 1 111 C36-20 LIC
,SWIMMING POOL RECEPTOR 1.75
O,STRICT NO. P P ESSED BY
LAWN SPRINKLER SYSTEM 7,75
/ WATER HEATER 1.75 76 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 / INSPECTION RECORD V
OUTLETS OVER ¢
5 PER SYSTEM .30 CD
V
W
CL
N
Plan check fee S.. R.V.rs.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE p? L,/
APPROVALS DATE- cls PECTOR's SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
A
Address GAS PIPING /I/
City Tel. No. GAS VENT 17 �-/
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST V �
1 HEREBY CERTIFY THAT I'AM PROPERLY REGISTERED PND/OR UTILITY CO. NOTIFIED
LICENSED AS REDU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT
AM HED OWNEfl OF. AND INTEND TO
RESIDE IN THE ABOVE OES BED ENTIA ROPE FINAL / +
SIGNATU RE • !/�,, .� Y
OF PERMITTEE
PERMIT VALIDATION cK. M.o. cash
PLAN CHECK VALIDATION CK. M.D. CASH
i x_ 3200?3 SEP 14-;. 5 A 22.2.5°