HomeMy Public PortalAbout6026 BURTON AVE_Plumbing__ 7GA663,(C E-817)-8-71
g' APPLICATION FOR PLUMBING PERMIT n
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6026 Burton
LOCALITY San Gabriel
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS ST. / > {J✓
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
152-- BATH TUB 1 JS ,•� ADDRESS 628 N. Burton, San Gabriel
SHOWER 1.75 CITY .qnTEL. NO.
LAVATORY 1J5 'SYJ CONTRACTOR Owen Bros. Plumbing,Inc.
SINK 1.75 ADOBE
's4265 No. Baldwin Ave.
DISHWASHER 1.75 CITU TO Mnni-.p 91731 TEL_. NO.
CLOTHES WASHER 1.75S� STATE - LID
231 741
LICENSE NO. CLASS C 36
SWIMMING POOL RECEPTOR 1.75
DISTRI5.1 O. GRO RO .E S O BY
LAWN SPRINKLER SYSTEM 1,75jr(I
/ WATER HEATER 1.75 / .}i— INDUSTRIAL
WASTE APPROVAL 0.
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GAS SYSTEM OUTLETS 1.75 ! INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 Z
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1A
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Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE _
Plan Check applicant APPROVALS ATE IM' C 'RSIGNATURE
�i UNDER SLAB WORK Zj
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACNNOWLCDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RECTIFIED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVEC B O RESIOENTIA PERTY. FINAL J.
SIGNATURE �Y
OF PERMITTEE
PERMIT VALIDATION CN M.D. CASH
PLAN CHECK VALIDATION CH. M.0. CASH'
L..iLO 5 6 3 N f'1I'13 2 0 5 ,� 2 0.5 0" c