HomeMy Public PortalAbout10629 FREER ST_Plumbing__ 76A667-CE817 6-60 7��--- � •r-�
APPLICATION FOR PLUMMNG PE MIT
COUNTY
OUNYENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 1-0629 Em Freer St
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN
NEAREST
T. El Monte Ave•
NUMBER FIXTURE OR ITEM OWNER
Watson
WATER CLOSET MAIL
BATH TUB ADDRESS '
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR Earl Pat Standley, Inc.
SINK ADDnw20l9 N. Hoyt P.O. 408
DISHWASHER
CITY El Monte n:- No. GI 4-1559
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 11+9216 COUNTY [I
CLOTHES WASHER 1
DISTRICT NO. GROUP ZONE PR CESSED BY
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WATER HEATER Q
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
V
a
O
OF
W
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m
® EM
OR FIPER XTTURE� $ I 1.00
APPROVALS DATE INSPECTOR'S SI NATURE
PERMIT $ 2 00 UNDER SyA•B WORK
TOTAL FEE I 3•I00 ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL' COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER / /� J
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I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES v
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE A
DESCRIBED RESIDEN A PROPER Y UTILITY CO. NOTIFIED" A
SIGNATURE i N
voo
OF PERMITT FINAL
®r VALIDATION ROBERT A. WOOD,
/SCK. M.G. GSH SUPERVISING MECHANICAL ENWR
Irt o 5 5 5 5 � APR 1 7 5 U 3 .0 0