HomeMy Public PortalAbout10156 LA ROSA DR_Plumbing__ .7BA667-CEB17 3SB C / ? / Or- . 7E/n PLC 61 r y Job #16
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS 10156 La Rosa Ave.
CLO
A, LAM
IE. County. En er e
cASBATT D. GRIFFIN, Sup t of Building LOCALITY Temple City
. FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER J . Re Fitzgerald
2 WATER CLOSET MAIL
1 HATH TUB ADDRESS 2;-121 Mesarica Rd. ED 2-7925
SHOWER CITY Covina TEL. NO. Z'WM6)M
LAVATORY CONTRACTOR Belvedere Plumbing Qo.
1 SINK ADDRESS 11900 E. GarveyAve.
DISHWASHER CITY El Monte TEL No. GI 89836
CONTRACTOR'S STATE $]
LAUNDRY TUB REGISTRATION NO. 1 68 COUNTY ❑
1 CLOTHES WASHER �DISTRICT NO. GROUP �ZONE PROCESSED BY
1 WATER HEATER S,o
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
A-4Co Tri A-/,i 7-e--P7"
v
O $1.00 PER ITEM
10 OR FIXTURE S, 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK - fCY'f '/` ,nT
TOTAL FEE 12 GG ROUGH PLUMBING b, v �Yl
GAS PIPING dd
EAD THIS
ANDEREBY STATETHAT EEDGE ABOVEHIS IS RAND AGREE TOLI
CATION
DHCOMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ^ ,I_
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE _ _
DESCRIBED RESID i L PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE FINAL1-7
OF PERMIT
®. YAIJDATION ROBERT A. WOOD,
cA. B.o. CASH SUPERVISING MECHANICAL ENG'R
i=� �2 1..1 9 FED 65 D 12 .0 0 n,