HomeMy Public PortalAbout5208 DEGAS AVE_Plumbing__ ST 0.62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION rAD
LDING
JOHN A. LAMBIE. COUNTY ENGINEER DRESS208 De as Ave.
WILLIAM A. JENSEN. SUPT of BmLDINGCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Rand Wick -
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dnal Corp.
WATER CLOSET $1.25 MAIL
1 BATH TUB 1.25 1.25 ADDRESS
21 SHOWER 1.25 1.25 CITY TEL. NO.
7
LAVATORY 1.S5 CONTRACTOR Owen Bros. Plumbing, IIIc
1 SINK 1.25 1.25 ADDRESS 4269 No. Baldwin Ave
1 DISHWASHER 1.25 1.25 CITY El Monte TEL. NO. 443-0078
LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. 231741 COUNTY 0
1 CLOTHES WASHER 125 1.25 DISTRICT NO. GROUP ZONE PRRO SSED BY
1 WATER HEATER 1.50 1.50 / l diL "/
1 GAS SYSTEM 5 OUTLETS 1.50 1.50 INDUSTRIAL y
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM .$B INSPECTION RECORD U
A 1 r A L.1�A.n.C•/ W
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IN
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APP OVALS DATE J sPECTOR'S SIGNATURE
PERMIT S 2 00 UNOERx B WORK
ROUGH PLUMBING
TOTAL FEE 1 16.25 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER '{
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/on PLUMBING FIXTURES 7
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 2 �� •e . -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO GAS TEST M1•Ti 1�V�F
RESIDE IN,THE ABOVE p CRIRE0 RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED —3
SIGNATURE ' /
OF PERMITTEE FINAL
yALIDATION ROBERT A. WOOD V
cK. M.o. CASH SUPERVISING MECHANICAL ENG'R
AGO93 + 4�. "j'. 8 5 D 16.25-