HomeMy Public PortalAbout10623 FREER ST_Plumbing__ APPLICATION
PLUMBING PER
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CE 817 B-5 UILDING AND SAFETY DIVISION
1 :
Department of County Engineer
County of Los Angeles BUILDING r1
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS 1062= Erre a , ,St.,
CASS'ATT'D,GRIFFIN.SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN R CROSSNEAREST
CROSS ST,
OWNER DISTRIC NO. GROUP I NE I READY FOR INSPECTION
MAIL
ADDRESS T
INDUSTRIAL '
CITY TEL. NO. WASTE APPROVAL
PLUMBER Earl (�P�atT)) StaTn�d jpy Tne. � INSPECTION RECORD ��}y, -
ADDRESS 201 N' HO r 100T408 S0-7
t CITY El Monte TEL. NO. HI 415, 9_
LICENSE NO, 149236 (�� F
NUMBER TYPE OF FIXTURE OR ITEM FEE firj ,q / iqZ
K �
1 WATER CLOSET (TOILET) @ '$1.00
1BATH TUB @ $1.00 G
SHOWER @ $1.00
k 1 LAVATORY (WASH BASIN) @ $1.00
1 KITCHEN SINK @ $1.00 1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00OACL
�] GAS SYSTEM @ $1.00 -1 -
r
'6 ,
APPROVALS
DATE INSPEC RAS SIGNATURE
UNDER SLAB WORK
PERMIT $ i 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
00'
r GAS VENT -
LDESCRIBED
EBY ACKNOWLEDGE THAT 1 HAVE READ 7H15 APPLICATION HOT WATER HEATER
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING - PLUMBING FIXTURES -
G. 9 1 ,/(r�
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST "��. f4,7
D AS REQUIRED BY LOS ANGELS.COUNTY AND STATE OF s
NIA OR THAT 1 AM THE—LEGA ER OF THE ABOVE UTILITY CO.NOTIFIED
ED RESIDE PROP URE RMITT _ __ FINAL 7 r/ C�'.£�i "^•
ROBERT A. OOD,
JOHN A. LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
[: C0 7 OT1031 NOV 25 5 A 9.0 0 M
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