HomeMy Public PortalAbout10405 OLIVE ST_Plumbing__ FBASG7 CE#817 5.61--
APPLICATION FOR PLUMBING PgRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
Bto'DrinaGi.AMe EE�COUNTY EER BUILDING JC405 Olive Street
WILLIAM A. JENSEN, SUP'T OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IIIc CNEAMT
ROSS Sr.
NUMBER FIXTURE*OR ITEM
WATER CLOSET 6-o Owm Selected Ho44
As 829 San Gabriel
HATS TDB
IMOWER cuy San Gabriel TEL.No.
LAVATORY 8'c CONTRACTOR Parker Plumbing
SDS t ADDRESS 14617 E. Ramona Blvd*
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Baldwin Park =NO-ED-81127
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LAUNDRY TOS BECI knox No. 19771+7 CODH Y
CLOn=WASIM .DISTRICT NO. GROUP ZONE P O SED BY
WATER DATER '�0 O
GAS SYSTBaI � INDUSTRIAL rJ
WASTE APPROVAL
M=CTION RECORD A �
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G $1.00 PER ITEM
OR
APP1f6VALS OXTE/ qq INS CTOR'S SIG ATURd
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING Il i7 y�y.
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �1 gT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT / h // I
WITH ALL OOUNTY ORDINANCES AND BTATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
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I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES• B B y7
LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AMD STATE.OF GAS TEST - F—.s3^�wA
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CALIFORNIA OR THAT 1 AM THE GAL'OWNER OF ABOVE ��J/,+l. f `
DESCRIBED RESIDENTIAL ERTY UTILITY CO.NOTIFIED `i�/]Je r _ 7�
SIGNATURE
OF PERMITTE
FINAL
ALIDATION ROBERT A.WOOD
CK.. M.o. CASH SUPERVISING MECHANICAL ENG'R
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•6 8 9 0 0 Nov 13 5 D 1 3.7 5- u