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HomeMy Public PortalAbout5420 CLOVERLY AVE_Plumbing__ 76A667 CF-817 8 57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDR SS 5420 Cloverlq JOHN A LAMBIE COUNTY ENGINEER , I Tempe 1 y CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER Home and Income WATER CLOSET MAIL 03 Rosemead Blvd. BATH TUB ADDRESS 5 'SHOWER CITY Rivera TEL NO LAVATORY _ CONTRACTOR Grant Polson < SINK ADDRESS 11900 E• 1 till. ►St o DISHWASHER CITY Artesia TEL NOUN 5524553 LAUNDRY TUB STATE REGISTRAT ON NO 1 2 C 6 COUNTY ❑ CLOTHES WASHER DISTL NO GROUP ZONE READY FOR INSPECTION WATER HEATER 1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL 04— INSPECTION RECORD L 1w f APPROVALS ' DATE INSPECTOR S SIGNATURE O 00 PER ITEM Ng 00 OR FIXTURE $ flro UNDER SLAB WORK ROUGH PLUMBING PERMIT S ,1100 GAS PIPING _ TOTAL FEE ! GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES` PLUMBING F I HEREBY CERTIFY THAT I AM PROPERLY RE STERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES C AN STATE OF CALIFORNIA OR TH I AM THE LEGAL E OF HE ABOVE UTILITY CO NOTIFIED DFSCRIB..D RESIDEN 1 PROPERTY SIGNATURE OFPERMITTE INAL ROBERT A WOOD ©' �VALIDATION SUPERVISING MECHANICAL ENG R M O CASH y �✓✓� 381 5 °° hiJ6 3 ` 5 A 3 0 0 76A667 CE817 8 57 APPLICATION, FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES + �! DEPARTMENT OF COUNTY ENGINE£I s BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5420 cloverly JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Temple city, Calif. FOR APPLICANT TO FILL IN NEAREST caoss ST olive NUMBER FIXTURE OR ITEM OWNER L. Wo Merritt WATER CLOSET 2*00 MAIL 1 BATH TUB 1,boo ADDRESS SHOWER 1000 CITY Temple--Uit.V TEL NO g LAVATORY 200©0 CONTRACTORRobbine & Warm Plbg & Rt l SINK 1000 ADDRESS 25 No alk BlVdo DISHWASHER CITY Lo Niatoa TEL NO OX 2ijpafi l LAUNDRYTUB i.,00 CONTRACTORS STATE REGISTRATION NO 156272 C-36 COUNTY l CLOTHES WASHER 1600 DISTRICT NO GROUP I ZONE REAOY FOR INSPECTION 1 WATER HEATER 1®©© 1 GAS SYSTEM l Ooo INDUSTRIAL WASTE APPROVAL INSPECTION RECORD -7 _ APPROVALS @ $1 00 PER ITEM + p ATE INS NATURE° OR FIXTURE - $ b91 9 SQO UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1100 GAS PIPING TOTAL FEE 1 O GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING a —f 1HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR GAS TEST 0 /42 LICENSED AS REQUIRED B S ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT rAM HE LEGAL O ER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDE P RTY �`N P 'Ar SIGNATURE �1. OF PERM ITTEE FINAL ROBERT A WOOD ©, VALIDATION SUPERVISING MECHANICAL ENG R M 0 CASH t 18,49 ° M1 :5 .3 A 12.00 19 6q4} a