HomeMy Public PortalAbout8758 LONGDEN AVE_Plumbing__ 76A667 -CE#'817 2-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AnnaEss 87 8 Longden
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY San Gabriel
FOR APPLICANT TO FILL IN NEAREST QQ
CROSS ST. Ap A
NUMBER FIXTURE OR ITEM EACH FEE
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OWNERS 8. T Const. Co.
2 WATER CLOSET $1.25 2 50 MAIL
1 BATH TUB 1,25 1 �5 ADDRESS 21160 Cloverland Dr.
SHOWER 1.25 .1 25
CITY Covina TEL. NO, 3 2-9661
LAVATORY 1.25 3 75
CONTRACTOR Belvedere Plumbin Co.
SINK 1.25 .1 2 ADDRESS 11900 E. Garvey Ave.
1 DISHWASHER 1.25 1 25 CITY El lvloriR TEL. NO. CU 31691
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 179568 COUNTY p
CLOTHES WASHER 1.25 1 25 DISTRICT NO. GROUP ZONE �7�MD BY
WATER HEATER 1.50
GAS SYSTEM _OUTLETS 1.50 1 INDUSTRIAL 'I— v- vu
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPF OVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER,SL/1B WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT / n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR. PLUMBING FIXTURES /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE EGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOyE DESCRI D ESIDE NTIAL PROPERTY. UTILITY CO. NOTIFIED Al
SIGNATURE ✓ ;T,. f'"
OF PERMITTE )))
FINAL
C�ALIDATION ROBERT A. WOOD
.�C/. / M.O. CASH SUPERVISING MECHANICAL EN7.50—G'R
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o•,•I„=•.. APPLICATION FOR PLUMBING PERMIT
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FLUNbING. RO.O�~CES AND STATE 0 COYPLf -- —_EA=R-
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-- WILLIAM J. FOX. cow
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