HomeMy Public PortalAbout5301 DEGAS AVE_Plumbing__ 76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5301
WILLIAM A. JENSEN,SUP'T_OF.Bu1LDING
__ LOCALITY
Temple City
FOR APPLICANT TO FILA. IN NEAREST -
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER J B Weber Construction Co
WATER CLOSET MAIL
1 ADDRESS
BATH TDB
CITY TEL. NO.
1 SHOWER CONTRACTOR VQIIGF PiMbin Co. -'
LAVATORY
SINK ADDRESS 442 W. Floe?wood Pl .
1
DISHWASHER CITY Glendora TEL. NO. Ed 5-12
CONTELACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 160847 COUNTY
1 CLOTHES WASHER DIS�ToRICT/NIO. GROUP ZO E P BSED BY ��
1 WATER HEATER
3— GAS SYSTEM INDUSTRIAL
. WASTE APPROVAL y
INSPECTION,RECORD �-
K
O
o.
w
Z
1O ® $1.00 PER ITEM
OR FIXTURE $ _ APPROVALS DATE INSPECTORS SIGNATURE
PERMIT $ 2 00
UNDER SLAB WORK
TOTAL FEE I ioo
ROUGH PLUMBING / (0 4a �_ ,J- /•
GAS PIPING /IMP
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
. AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY GAS VENT IIP7 J/1-1
l
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ♦ 1n\1/v'
. PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REOUIREO BY LOS ANGELES COUNTY AN STATE OF GAS TEST JJ:/J%Dl
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROP TY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE /�yq
FINAL
ALIDATION ROBERT A.*WOOD
crc.
M.0. CASH SUPERVISING MECHANICAL ENG'R
La;Y OCT 7 5 J :I- .L' U m
Y 6/.7