HomeMy Public PortalAbout5327 PAL MAL AVE_Plumbing__ 'apes,
DBS.17 ,.=e APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WADDRESM. J. FOX, COUNTY ENGINEER BUILDING *p C27S J�G/ Palm,-,l
CA SSATT D. GRIFFIN. SUPT or BUILDING LOCALITY C"iit
Templey
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER 10ft twin Koeni _ DISTRIC GRO ZONE I neeox Fon INSPECTION
MAIL I p��
ADDRESS _ _ yy /r
INDUSTRIAL
CITY TEL.NO. F�, WASTE APPROVAL _
PLUMBER Earl (Pat) 1 Th INSPECTION RECORD
ADDRESS 201 O1.
CITY El Monte 'L[� TEL.NO. GII+157rr
9
LICENSE NO. 1472 6
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB 1
SHOWER
Z
LAVATORY (WASH BASIN)
1 KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY Z•O
CLOTHES WASHER
TOTAL NO. a 0.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
Z GAB BYSYEM_OUTLETS ® 1.00 •
WATER HEATER a 1.00 O UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE I-a* 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
IJ CENSED AS REQUIRED BY LOS ANGELES COUNO AND STATE OF
LIFORNIA OR THAT AM THE LEG L OWN THE ABOVE UTILITY CO.NOTIFIED fl-'W171
DESCRIBED RESIDER PROPE Y. .-
SIGNATURE
OF PERMITT FINAL
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR
143662^ OCT 23 3 8.00