HomeMy Public PortalAbout9656 LONGDEN AVE_Plumbing__ T.A617 5/63 TE[MLE CITY CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9656 E. Longden
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FML IN NEAREST
CROSS ST. i
NUMBER FIXTURE OR ITEM EACH FEE OWNER
2 WATER CLOSET $1.25 21 50 MAIL
W. C. Pursle
1 BATH TUB 1.25 1 25 ADDRESS 5926 Temple City Blvd.
CITY emp e City TEL. NO. AT7-575`4
1 SHOWER 1.25 1 25
2 ILAVATORY 1.25 2 50
CONTRACTOR 131=13redere Plumbing
1 SINS 1.25 1 25 ADDRESS 11900 E. Garvey Ave.
DISHWASHER 1.25 CITY El I-onte TEL. NO.GI 983
LAUNDRY TUB 1.25 CONTRACTOR'S 1,79 8 STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 1 DISTRICT NO. GROUP ZONE 6eSEED BY
1 WATER HEATER 1.50 1 C
GAS SYSTEM__5_ _OUTLETS 1.S0 1. 0 INDUSTRIAL !
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 U
INSPECTION RECORD
O
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APPROVALS DATE INSP C OR' IGNATURE
PERMIT S 2 00 UNDER SLAB WORK /
ROUGH PLUMBING12 ..c'
TOTAL FEE 15100 . GAS PIPING !
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES l
LICENSED AS REQUIRED BY 0ANGELES COUNTY AND STATE OF GAS TEST A /
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF AND INTEND TO J!/1
RESIDE IN,THE ABOVE DESC IBE RESIDENTIALROPERTY. UTILITY CO.NOTIFIED
SIGNATURE v f
OF PERMIT l / ,,ter_�y.•
FINAL
ALIDATION ROBERT A+WOO6
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
_iI o2 5.8.4 Q NOY 14 5 D 5.00~ a