HomeMy Public PortalAbout10675 LORA ST_Plumbing__ 176A667,-CE#817 2-62 - --- _ '•_- - - - �r!' _
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APPLICATION FOR PL;-UMBING PERMIT
COUNTY OF' LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
Temple City, 71
FOR APPLICANT TO FILL IN NEAREST _
CROSS ST. , 1
•• NUMBER FIXTURE OR ITEM EACH FEE CROSS
Edward White
WATER CLOSET"" $1.25
$ATH rus 1.25 AD
SSSS •10675 Lora Street
cITYTemple City,SHOWER 1.25
' TEL:NO.
LAVATORY 1.25 CONTRACTOR..Arco Plumbing &- Heating
SINS 1.25 ADDRESS 1 W. -GarVey Ave.
DISHWASHER 1.25 CITY Monterey Park, TEL' NO. CU 3-905
LAUNDRY TUB 1.25 RGTRIO220351C-16 TEIATNNO. COUNY ❑
CLOTHES WASHER 1.25 DIST CTNO. GROUP I ZONE CESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 l 0 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d
Gas Yard Line 0
d
.. z
APPROVALS DATE INSPECTOR'S SIGNATURE: - ,-
PERMIT $ '2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CA O GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRMED RES E .IAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
JALIDATION
ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
LAW 5 5 5 2 NOV 4 5. D 3.50-
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