HomeMy Public PortalAbout8618 HALDEMAN ST_Plumbing__ �76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Tract 26026 �67!
JOHN A. LAMBIE, COUNTY NGINEER ADDRESS
WILLIAM A. JENSEN• SUPT of BUILDING LOCALITY San Gabrlell.
FOR APPLICANT TO FILL IN NEAREST
oss ST. GaribRldi 8c BUrtOrii
NUMBER FIXTURE OR ITEM -
c Estates
2 WATER CLOSET OMAIL
WNER 1 i rADDRESS 11518 Lambert
BATH TUB CITY El Uprike TEL. NO. G1 31761
1 SHOWER '
CONTRACTOR walley rjumolng CO.
LAVATORY@@ WOO P1.
1 SINS Gtondo- - ADDRESS 442 W.
DISHWASHER CITY ra TEL NO. Ed 5--12
CONTRACTOR'S 160847 STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER DISTRICT NO. GROUP I ZONE PROCESSED BY
WATER HEATER `
GAS SYSTEM INDUSTRIAL
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WASTE APPROVAL
INSPECTION RECORD y
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10 Q $1.00
f 1 R ITEM
rIx $ r� q
lV //(/ APPROVALS DATE INSPECTOR'S S[ jURE-
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 1 oo ROUGH PLUMBING Afr
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS APPLICATION ,( i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ,L
WITH ALL COUNTY ORDINANCES AND STATE LAWS' REGULATING HOT WATER HEATER /
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -GAS TEST
CALIFORNIA OR THAT I AM THE GAL OWNER OF T E ABOVE
DESCRIBED RESiDENIf PR ERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITT FINAL 711 `
®� VALIDATION ROBERT A. WOOD,
cK.
X.O, CASH SUPERVISING MECHANICAL ENG'R
LIT 2 2 5 8 -0 FEB g s A 1 2.0 0