HomeMy Public PortalAbout10553 LYNROSE ST_Plumbing__ �. e0w
76A69.7 P.CE#817 5-151-
APPLICATION
-61•APPLICATION FOR PLUMBING PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10564.Iq=ose
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALm Temple City
FOR APPLICANT TO FILL IN NENEAREST- Pal blal
ON ST.
NUMBER FIXTURE OR ITEM OWNER
Meeker Development
WATER CLOSET MA>z
ADDRESS
SATS,TOB
CITY TEL..NO.
SHOWER
LAVATORY CONTRACTOR Bros, Plimbing
sm ADDRESS 525 N. Baldwin Ave.
DISHWASHER cm El Monte TEL NO•GI-37644'
STATE
LAUNDRY TUB REGGI RATION� NO. 19718h COUNTY,
CLOTHES WASHES DISTRICT N GR UP ZONE P SED BY
WATER BEATER0
GAS SYSTEM INDUSTRIALWASTE APPROVAL ag
INSP =ON RECORD 1 ,�
�t. Z
$1.00 PER ITEM I 0 a
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2100 UNDER SLAB WORK s���"`�°!
ROUGH PLUMBING" ,, 1.2/9 0
TOTAL FEE 0.(� - , + 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 L°OUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. + r
1 HEREBY CERTIFY THAT 1- AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
L,CENSEO AS REQUIRED BY LOS•ANGELES COUNTY AND STATE OF . 1 �
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE. GASTEST
DESCRIBED RESIDENTIAL PROPERTY. -UTILITY CO.NOTIFIED /��/ �6�•,a3�-',` �''
SIGNATURE * �j 1 t V r /' d , ..✓�
OF
FINAL rf.t.� •1 f r:i l.;.. .�:J�`!/1
AUDATION ROBERT A.WOOD
CK. M.0. CASH. SUPERVISING MECHANICAL ENG'R
.:I�7
9214% FEB 5 5 D 9.0 0