HomeMy Public PortalAbout10616 FREER ST_Plumbing__ 78A667-CE#817.5-.61'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS . 10616 Freer St.
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEARSCROSS Si.
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R FIXTURE OR IT OWNERKen F- Willirims'
WATER CLOSET 1 �� M E
BATH rUs
ADDREss 156 E. Norman Ave.
1 SHOWER — °rry Arcadia TEL NO- HI 75658
LAVATORY
CONTRACTOR• � '"'
1 SINKADDRESS 11900 E. Garvey Ave.,
DISHWASHER crri El Monte TEL. NO. GI 89836
COZUTE
LAUNDRY TUB REGISTRATION NO. 179568 COUNTY
l CLOTHES WASHER 4 D[BT N GROUP EPR B �Y
WATER HEATERI.,ZOM
GAS SYSTEM INDUSTRIAL 0
WASTE APPROVAL
INSPECTION RECORD - v
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1 OR IIRE $ APPROVALS DATE INSPECTOR'Ss1ON�ATUISB
PERMIT $ 2 00 UNDER SLAB WORK �r s��
TOTAL FEE ROUGH PLUMBING � O j •�: 7i
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION QQ�A1
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AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT a� .-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �n��(;� `1E,s J�jr�f
PLUMBING. ypo _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /•yJ(!'� 1, �, �A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF f
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TEST 7�� ..� �-' •
DESCRIBED RESID TIAL Pf ERTY. UTILITY CO. NOTIFIED
SIGNATURE _� '7 1 .!� ./•
OF PERMITTEE FINAL /IIUe�H�' 'Cd'aA.G✓�
`., A ATION ROBERT A'WOOD
CK.
M.0. CASH' SUPERVISING MECHANICAL ENG'R
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