HomeMy Public PortalAbout10627 FREER ST_Plumbing__ 76A667.CE817 6-60- 57
ISI FOR �,�J�dBI G PERMIT
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 10627 E. Freer St s
WILLIAM A. JENSEN. SUPT OF BUILDING
559
LOCALITY Temple rity
FOR APPLICANT TO FILL IN NEAREST
T. E1 Monte Ave.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
CONTRACTOR
1- LAVATORY
SINS ADDRESS 201 N Hoyt, P O 408
DISHWASHER CITY El Monte T� NOL'TI LF-1
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 149216 COUNTY Cl
1 CLOTHES WASHER t DISTRICT NO. GROUP ZONE FIRCESSED BY
WATER HEATER -�-y
l GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a.
a
O
V
a
M
W
a
0 $I.00 PER ITEM
7 OR FIXTURE $ 7000 APPROVALS DATE INS„FACTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE I ( I00 ROUGH PLUMBING ice-//. �/,,+ ' _•�
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR "P,L'UMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFa .GAS TEST n s.1 //9'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN PROPERTY. UTILITY CO.NOTIFIED ��,�Ud•�
14
SIGNATURE ,
OF PERMITTE lit —1
FINAL
®r VALIDATION ROBERT A. WOOD,
CC. N.O. CASK SUPERVISING MECHANICAL ENG'R
5 5 5 4 0 itFZ 17 5 D 9.0 0