HomeMy Public PortalAbout6253 GOLDEN WEST AVE_Plumbing__ 76AB67-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. County Engineer ADDRESS G West A
CASSATT D. GRIFFIN,Supt of Building
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
EARE sT. Lon .den Ave
NUMBER FIXTURE OR ITEM CROSS
OWNER M. Archuleta
1 WATER CLOSET
l BATHTUB MAIL
6251 Golden West Ave
SHOWER
CITY Temple City TEL. No.
1 LAVATORY CONTRACTOR Robbins & Warm Plumbing
SINK ADDRESS 8725 Norwalk Blvd.
DISHWASHER CITY Los Ni e t os TEL. NO. OX 21286
LAUNDRY TUB CONTRACTOR'S156272—C36 STATE t7
REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER DISTRICT NO. GROUP ZONE P CESSE BY
WATER HEATER .r-
r
l GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
7 @ o.°Fixru>M $ 7.00
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 2100 ROUGH PLUMBING
TOTAL.FEE 9 0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED PA LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED REST E LIROIERTY.
SOF PERM TTE �[/t'~ FINAL
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. N.0. CASH
x'01 0 s 5M AX ll 5 A X00
7