HomeMy Public PortalAbout10112 LANDSEER ST_Plumbing__ 76AB07-CE817 10-60
-APPLICATION FOR PLUMBING PERMIT
DEPARTMENT
COUNTY
OF COUNTY ENGINEER
BUILDING ANDISAFETY DIVISION BUILDING -
JOHN A. LAMBI COUNTY ENGINEER ADDRESS 10112- Iandse r
• WILLIAM A. JENSEN, Sup'T OF BUILDING LOCALITY
Temle Qjty
FOR APPLICANT TO FILL IN NEARSCROSS ST.
NUMBER FIXTURE OR ITEM OWNER J B Weber Construction.CO
1 2 WATER CLOSET MAIL
1 BATH TUB ADDRESS
CITY TEL. NO.
SHOWER. "
LAVATORY' CONTRACTOR Val l ar- Pambing Co
i ADDRESS = 442 W •rloo_two6d PI .
1 SINK
DISHWASHER c� Glendora TEL NO. Ed 5-1 3 -
LAUNDRY TUB REGISTRATITE H
kfill ON NO. 160847 COUNTY
1 CLOTHES WASHER DISTRICT NO. GROUP - ZONEESSED BY
1 WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL >-
INSPECTION RECORD 0
o
Z
0 .$1.00 PER ITEM
10 OR FIXTURE I. APPROVALS DATE - INSPECTOR'S SIGNATURE
PERMIT 100 UNDERLBCA-b WORK m i It (e� i A e
TOTAL_ FEE ] ROUGH PLUMBING -
GAS PIPING '
I HEREBY ACKNOWLEDGE THAT t HAVE READ=THIS APPLICATION _ _ _
'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 'y!
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
PLUMBING: - HOT-WATER HEATER 8611^A4
y� 4w'
�•O�`sY"'
1 HEREBY CERTIFY THAT I. AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES PJ p 13 4p I�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF'THE ABOVE GAS TEST t 'J���gg�•/ I� arFYd:: ? .
DESCRIBED RESIDENTIAL PROPEPTY. UTILITY CO. NOTIFIED
SIGNATURE / --,r ,n ♦
OF PERMITTE ;_/� ,/„�-
INAL �TJJ'' ,
LIDATION ROBERT'Af WOOD
-CKd
M.0. CASH SUPERVISING MECHANICAL-ENG'R '
2 5 OCT J, T J ti�