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• APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES Lot # 13 u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FAD.DnSS 5933 Muscatel Ave®
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING
San Gabriel:
FOR APPLICANT TO FILL IN
NUMBER FIYTURE OR ITEM EACH FEE .
2 WATER'CLOSET 11.25 2150 OWNER J. B. Weber Dev. Co.
1 BATH TUB 1.25 1 25
ADDRESS 5926 Temple Cit Blvd. ;
1 'SHOWER 1.25 1 25 CITY Temple City TEL. No.
2 LAVATORY 1.25 2 50 CONTRACTOR Valley Plumbing Co.
1 SINK 1.25 1 25 ADDRESS - 442 W. Fleetwood. Place
1 • DISHWASHER 12 1. 25 CITY- Glendora TEL.NO: Ed,51293
LAUNDRY TUB 1.25
CONTRACTOR'S
NO. "20943 • COUNTY Pj
1• CLOTHES WASHER 1.25 1 25 DISTRICT NO. GROUPON P EBBED BY
�- WATER HEATER 1.50 1150 Ar
l 1.50. 1 50 INDUSTRIAL 0-
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 30 INSPECTION RECORD u
0
. 1-
u
W
D.
- N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 55 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 16 55G
AS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 1 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 DESCRIBED SIDENTIAL PROPERTY. UTILI.T CO.NOTIFIED '
SIGNATURE 444
OF PERMIT
TE
F NAL
ATION ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
9 2 0 cif it 5 5 A 1 6.5 5cv