HomeMy Public PortalAbout5415 PAL MAL AVE_Plumbing__ T6 867
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AD1DmS P v_',
JOHN A. LAMBIE. COUNTY ENGINEER
PF48 � � • all rte. . �"��
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FELL IN NEAREST
CROSS BT.
NUMBER FIXTURE OR ITEM BACK FEE OWNER Weber Construction CO.
S WATER CLOSET 81.25 MAIL t
BATA TDB 1.75 ADDRESS 5926 No. Temple CityBl
/ SHOWER US CITY Temple Cit TEL. NO.
Z LAVATORY I.ss 1-0 CONTRACTORVa11ey__ Plumbing Co.of Glendora
SDI[ lA5 y;T ADDRESS West Fleetwood P]Stm
DISHWASHER 1.25 C1rY Glendora TEL. HOED rr7293
LAUNDRY TUB 1.75
ATE 9X
CONTRACTOR'S
2094/1 CO TVNTYCj
TF 99
CLOTHES WARNER 1.75 N DISTRICT O. GROUP ZONE P SEED BV
WATER HEATER 1.58 -,�
OAS SYSTEM (I "ER IWASTENDUS RI PPROVAL
OUTLETS OVER 5 PER SYSTEM AD ,'l O 18PRCTION R CORD 7r.
G
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W
d
N
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5 DAT INSPRSSIGj4VIRE
PERMIT S 2 00 UNDE WORK /
ROUGH PLUMBING
TOTAL FEE O GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A9 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 RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE p
OF PERMITTEE FINAL P F
ALIDATION ROBERT A. WOOD
cK. M. D. CASH SUPERVISING MECHANICAL ENG'R
L,4;0i 7 6 2G OCT 23 5 D 15.3 0-
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