HomeMy Public PortalAbout5202 DEGAS AVE_Plumbing__ 7BAS67.-0E4Zl 7 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5202 De as Ave
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CnOSS ST. RandTrick
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dnal Corp.
3 WATER CLOSET $125 5.179 MAIL
1 BATH TUB 1.25 1,125 ADDRESS
SHOWER 125 Ig;nCITY TEL. NO.
LAVATORY 1.25 -1 CONTRACTOROwen Bros. Plumbing, Inc.
1 SINK 1.25 1 25 ADDRESS 4265 No.
DISHWASHER I.25 CITY El Monte TEL. NO. 443-0078
LAUNDRY TUB 1.25 REGISTRATION NO. 231741 COUNTY
1 CLOTHES WASHER 1.25 1,25 DISTRICT NO. GR UP Z E PROCESSED BY
1 WATER HEATER 1.50 1.50
CAS SYSTEM OUTLETS- 1.50 INDUSTRIAL y
�— TS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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AP R 1 DATE INSPECTOR5 SIGNATURE
PERMIT S 2 00 UNDER SLAG VORR 3-ZS{os
ROUGH PLUMBING -�
TOTAL FEE U
GASPIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION G-A$VENT
PND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /�
PLUMBING. LZ W Ail
1 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 OE CRIBEO RESIDENTIAL PROPERTY, IJT ILITY CO. NOTIFIED
SIGNATURE I
OF PERMITTEEII td ll' 1' ltd- _ _ p -
_ FINAL M.GfI-N`+—
VALIDATION ROBERT A. WOOD v
M.0. CASH SUPERVISING MECHANICAL ENG'R
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