HomeMy Public PortalAbout5406 1/2 EL MONTE AVE_Plumbing__ 76A667-CFM7�12/59 TEMPLE U 15
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _ :. •..•: .,. •.,
BUILDING AND SAFETY IVISION BUILDING i
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ���,n/d/• �� / /®/�tG /�✓e/
WILLIAM A. JENSEN SUPT OF BUILDING
LOCALITY
s
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRAC OR L
SINK ADDRESS Z'
DISHWASHER I CITY L- TEL. NO.
CONTRACTOR'S ) SATE
LAUNDRY TUB. REGISTRATION NO. / b fSCOUNTY ❑
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CLOTHES WASHER DISTRICTNO. GROUP� ZONE PROCES D/BY�
WATER HEATER'
GAS SYSTEM
INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
A, P.
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W
P.
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{ CSA $1.00 PER ITEM I �/J
OR FIXTURE ' $ APPROVALS QATE. INSPEC OR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING 2 ✓mf o^u
TOTAL FEE O t7
GAS PIPING
AHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
t WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. -,{ HOT WATER HEATER
-
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 THE ABOVE
DESCRIBED RESIDENTIAL P RTY. UTILITY CO.NOTIFIED /
SIGNATURE
OF PERM I7TE a FINAL
y,
®e ALIDATION ROBERT A. WOOD,
cs. M.O, CASH SUPERVISING MECHANICAL ENG'R
+ 1 9 0 3 - Ft_ 1 5 D 9-010