HomeMy Public PortalAbout5352 MCCULLOCH AVE_Plumbing__ 76A667-CE817-8.57 \2 54
COUNTY OF LosAPPL.ICATION FOR"PLULES JABING PERMIT 1
12
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS . McCulloch
JOHN A: LAM.BIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY Temple Cit (L.A..Count )
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR:ITEM OWNER Wavilene M. Calkins
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL.NO.
J LAVATORY CONTRACTOR Hartshorn Brothers Plum ng
SINK ADDRESS- 9816 E. Compton Bl VCS,'®''
DISHWASHER CITY Bellflower TEL.NO. .TO-7-4471
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. 128771 COUNTY D
l 'CLOTHES WASHER
DISTRICZNO. GROUP Z NE READY FOR INSPECTION
WATER HEATER ...3
11
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
'P-'O Co n.,w,r6F !-CI �rri .P•� 'Rs 4'Fz;C
f�? ��Ce,.�c:. Alai A•-�:,:t,r[ ,�!r�r� -�
APPROVALS
ry @ $1.00 PER ITEM DATE INSPE61OR'S SIGNATURE
/ OR FIXTURE $ UNDER SLAB WORK /
PERMIT 5 00 ROUGH PLUMBING �" y„
GAS PIPING
TOTAL FEE
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIB%D RESIDENTIAL PROPERTY. .,
SIGNATURE - Cg
OF PERM ITTE 9 FINAL.
ROBERT A. WOOD,
es LM TION SUPERVISING MECHANICAL ENG'R
C
M.0. ` CASH
j1 3 3 9m DEC 26 5 A'
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