HomeMy Public PortalAbout10552 DAINES DR_Plumbing__ 7eA8
CE 15 6e
-sAPPLICATION FOR PLUMBING PERMIT 1
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BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles ppDRESS 10 52 Daines Dr.•
JOHN A LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER Glen Moff DISTRICT NO I GROUP ZONE/' READY FOR INSPECTION
MAIL
ADDRESS
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INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER Earl (Pat) Sf-,Rndlpy Inc
p a ,FINSPECTIO,�r�NoR-ECORD
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ADDRESS 2019 N. Hoyt P►O.1` 08 �
CITY El Monte) TEL NO GI 41559
LICENSE NO 149216
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NUMBER TYPE OF FIXTURE OR ITEM FEE 1z4
Z WATER CLOSET (TOILET) @ $1 00 $ 1.0
BATH TUB @ $1 00 1 O
SHOWER @ $100 l a
l LAVATORY (WASHBASIN) @ $1 00 leo
KITCHEN SINK @ $100 1.00 �y r
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $100 1,0
CLOTHES WASHER @ $100
WATER HEATER @ $100 1 O
GAS SYSTEM @ $100
APPROVALS
DATE _INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING f v ]�
c
GAS PIPING6
TOTAL FEE $m
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT W-ATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES LL�j
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'r
CALIFORNIA OR THAT I AM THE LEGAL R OF THE ABOVE UTILITY CO.NOTIFIED l
DESCRIBED RESIDE L PR ER
SIGNATURE
OF PERMITT _ FINAL
ROBERT A.WOOD, '
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
C6. EI O. CASH
Fe o O 8 51 JAN 3 3 A 8.0 0