HomeMy Public PortalAbout9652 LEMON AVE_Plumbing__ 76A667 -CE4817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS ?6 5?_ E. Leman
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY Tem Cit-
FOR APPLICANT TO FILL IN NEAREST *� V
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER J. C. Ashley`
2 WATER CLOSET $1.25 50 MAIL
ADDRESS .371 Y. Corrida. Dr.
1 BATH TUB 1.25 � 5
CITY Covina TEL. NO.
]. SHOWER 1.25 1 5
2 LAVATORY 1.25 ? rjQ
CONTRACTOR Valley Plumbing Co.
1 SINK 1.25 25 ADDRESS 442 W. Fleetwood Place
I DISHWASHER 1.25
1 125 CITY Mlendora TEL. No. Ed 52-20"
LAUNDRY TUB 1.25 CONTRACTOR'S ��n/, STATE 1:1
REGISTRATION NO. COUNTY ❑
1 CLOTHES WASHER 1.25 1 25
DISTRICT NO. GROUP ZONE PR SSED BY
l WATER HEATER 1.50 1 C50 �� �
1. 1.50 1 50 INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
0
C
CL
N
Z
APPROVALS DATE INSPECT-61S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING - -
TOTAL FEE 16125
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE ,� `ia�6;^✓��'� '"�Il
OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK. M. O. CASH SUPERVISING MECHANICAL ENG'R