HomeMy Public PortalAbout5207 DEGAS AVE_Plumbing__ 76R667.•CEY617 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 5207 Degas Ave,
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Randwick
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dnal Corp.
r� WATER CLOSET S1.25 5 MAIL
1 BATH TUB 1.25 1 25 ADDRESS
1 SHOWER 1.25 1,25 CITY TEL. NO.
LAVATORY 1.25 2 50
CONTRACTOR Owen Bros Plumbing, Inc,
1 SINE 1.25 1.25 ADDRESS 4265 No, Baldwin Ave.
1 DISHWASHER 1.25 1,25 CITY El Monte TEL. NO. 443-0078
RACTORS STATE Ct
LAUNDRY TUB 1.25 REGISTRATION ION NO. 231741 COUNTY ❑
1 CLOTHES WASHER 1.25 1.25 DIS TRICT NO. GROUP Z NE PROCESSED BY
1 WATER HEATER 1.50 1.50
1 51.505 INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL D.
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD AJ
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APPROVALS DATE INSPECTORS SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK SLAB WORK •��
ROUGH PLUMBING
TOTAL FEE 7 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 7 17 Of CLIWy(,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 2
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED fI
SIGNATURE
OF PERMITTE FINAL it
(n/ f.�'✓��RT"^�
VALIDATION ROBERT A. WOOD V
cK. M.Q. CASH SUPERVISING MECHANICAL ENG'R
x(09 3 4 3-� HAR 8 5 D 1 6.25— a