HomeMy Public PortalAbout8622 HALDEMAN ST_Plumbing__ •76A667-CE817 12/59
APPLICATION FOR'PL UMBING PERMIT
COUNTY OF LOS ANGELES-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY , IVISION BUILDING 3'rzct 26026 ��
JOHN A. LAMBI COUNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY rJa11 Gabriel
FOR APPLICANT TO FILL IN CROSS ST. Garibaldi^ & Burton
NUMBER FIXTURE OR ITEM
OWNER Monarc Estates
WATER CLOSET MAIL
ADDRESS 11518 Lambert
BATH TUB CITY El Monte TEL. No. Gi 31761
1 SHOWER
2 LAVATORY CONTRACTOR Malley Plumbing Co
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SINS
ADDRESS 442 W. Fleetwood Pl .
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DISHWASHER CITY Glendora Tm No. Ed _ o
CONTRACTOR'Sr� STATE ❑
LAUNDRY TUB REGISTRATION NO. 16084( COUNTY ❑
1 CLOTHES WASHER DISTRICT NO. G-R�ODUPZZOONE I PROCESSED BY
WATER HEATER S .-L- , ` i ��1
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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(P $1.00 PER ITEM I }O
10 OR rl
DCTURE $ &V APPROVALS DATE INSPECTOR'S 1 ATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING 1
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,W
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE L AL OWNER OF THE A E
DESCRIBED RESIDENTIA PRO RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMI i
01, ALMATION ROBERT A. WOOD,
'K. N.0. CASH SUPERVISING MECHANICAL ENG'R
2260 '-0 FEB 8 5 A 12.00 is