HomeMy Public PortalAbout10945 DANBURY ST_Plumbing__ 78A8,S T., ,817 2.52 • /yjf/a✓`�� '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDRVG AND SAFETY DIVISION nnoaeSS 10945
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING Te le City
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Don Rogers
2 WATER CLOSET $1.25 2 50 MAIL 1 _
-
1 BATH TUB 1.25 1 25 ADDRESS 9222 De Adelina St.
1 SHOWER 1.25 1 25 CITY Rosemead TEL. NO.
3 LAVATORY 1.25 3 75 CONTRACTOR Valley Plumbing Co.
I SINK 1.25 1 251 ADDRESS 442 W. Fleetwood Place
1 DISHWASHER 1.25 1 25 CITY Glendora TEL. NO. Ed 51293
CONTRACTOR'S STATE El
LAUNDRY TUB 1.25 REGISTRATION NO. 209431 COUNTY
1 CLOTHES WASHER 1.25 1 25
DISTRICT NO. I GROUP ZONE I PFIOC�E5SEO BY
l WATER HEATER 1.50 1 50 5,�6
1 GAS SYSTEM-OUTLETS- 1'50 1 50 IN
E AIPPROVAL
OUTLETS OVER 5 PER SYSTEM ..30 INSPECTION RECORD T
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'AP V •5 DATE INSPECTORS SIGNATURE 9'Vef-
PERMIT s 2 00 UNDER6 WORK -1 I A
ROUGH PLUMBING T, 1L
TOTAL FEE 17150 GAB PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY "y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /
PLUMBING. I
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY
AND STATE OF ' GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO -�
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
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SIGNATURE - • / -
OFPERMITTE �_!/� /n /f ....• !•. .
FINAL W/ 1 f•f ld/UWP�w�
DATION ROBERT A. WOOD U
cK. M.D. CASH SUPERVISING MECHANICAL ENG'R
8459 FEB 9 5 D 17.50~
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