HomeMy Public PortalAbout10239 FREER ST_Plumbing__ 76A66,7'-,CE#817 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10239 Freer St.
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
3 WATER CLOSET $1.25 3 75 J B Weber Development
2 BATH TUB 1.25 2 50 ADDRESS 5926 Temple Citv Blvd.
1 SHOWER 1.25 1 25 CITY Temple City TEL. NO.
3 LAVATORY 1.25 3 75 CONTRACTURI ley Plumbing Co.
1 SINE 1.25 1 25 ADDRESS442 W. Fleetwood Pl.
1 DISHWASHER 1.25 1 25 CIf#lendo ra, aa�� TEL.Nd 5®1293
CONTRACTOR'SLAUNDRY TUB 1.25 REGISTRATION NO. 209431 COUNTY STATE 0
1 CLOTHES WASHER 1.25 1 25 DISTRICT NO. GROUP NE ESSED BY
1 WATER HEATER 1.50 1 50 � /
1GAS SYSTEM OUTLETS 1.50 1 50 INDUSTRIAL d
30
Q WASTE APPROVAL 0
1 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPTTOR't SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE I 2q 30 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND 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/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST .1- 8_f¢_
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED )r^
SIGNATURE /1
OF PERMITTEE
LIDATION ROBERT A. WOOD ri
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R '
LI it o S 0 7 1 : APR 2 4 5 D 2 o.'3-(3
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