HomeMy Public PortalAbout5354 MCCULLOCH AVE_Plumbing__ 76A667-CEB17.8-57 (25)+)
APPLICATION FOR: PLUIZdB G PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
McCulloch
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING Temple City (L.A.Count%
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM .
OWNER Wavilene M. Calkins
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR Hartshorn .8rothers Plum ng
f SINS ADDRESS 9816 E. Compton Blvd* ,)
DISHWASHER CITY Bellflower TEL.NO.. TO-7-4471
LAUNDRY TUB CONTRACTOR'S STA'�E
REGISTRATION NO. 128771 COUNTY
CLOTHES WASHER
DISTRICT NO. GROUP I NE, I READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
2-? ] A,
APPROVALS APPROVALS
/� $1.00 PER ITEM DATE INSP CTOR'S SIGNATURE
J OR FIXTURE $ -7 UNDER SLAB WORK / p��C� ����• f
PERMIT S 00 ROUGH PLUMBING G a/
GAS PIPING
TOTAL FEE
571,00 GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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.
IHEREBY 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 RESIDENTVIO ERT .
SIGNATURE
OF PERMITTEE10 FINAL GL
Q)s jr 4 VALIDATION ROBERT A.WOOD,
SUPERVISING MECHANICAL ENG'R
CK7 M.'0. CASH
;; 1 34 ON DEC 26 5 A9,0 Q10