HomeMy Public PortalAbout10124 LANDSEER ST_Plumbing__ c �
76A607-CE81710-60 ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS IA124 Landseer
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NiAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
J B Weber Construction Co
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL NO.
1 SHOWER
2 LAVATORY CONTRACTOR Valley l umbin Co.
1 SINS ADDRESS 2 W. Fe e T, n d P Y .
DISHWASHER CITY Glendora TEL. NO. d 5--12
CONTRACTOR'S 8 ATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER DISTRICT NO. GROUP ZONE SSED BY
WATER HEATER ! I f .
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a
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® $1.00 PER ITEM
10 OR FIXTURE $ APPROVALS DATE INSPES.TOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK J "�
TOTAL FEE 0 ROUGH PLUMBING-H v
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERM ITTE FINAL 7 _
1 �
ALIDATION ROBERT A. WOOD
c/ M.0. CASH SUPERVISING MECHANICAL ENG'R
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