HomeMy Public PortalAbout5533 PARMERTON AVE_Plumbing_7/20/1961_water heater 76A667-CE317_6-68
APPLICATION FOR PLUMBIG PERMIT
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUUAING
1O}p1nD AMBE 8 op,��v�ld�inl, ADDRESS Parmerton Ave
CASBA IR Locuarr
Temple Cit Calif
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
RATE roR AD°°AIIDeE&5 Parmerton Ave.
SHOWER cmTemple City TEL. No
LAVATORY CONTRACTOR Dace Plumbing & Heating
SINK ADDRESS i 0
DISHWASHER cm-SO.San GabrlehL xo AT-0-4931
'CONTRACTOR STATE
LAUNDRY TIIR REGISTRATION NO 104948 COUNTY
CLOTHES WASHES DjE?JCT�° GROUP ZONE P CESSED BY
WATER HEATER 1.00 � q " 1
GAS SYSTEM INDUSTRIA.
WASTE APPROVAL
1 11INSP CTION RECORD
7 1✓ ai 90 GG
/ / /
APPROVALS
@ OH D FIXTURE
F7 ' / DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
'PERMIT Y 2100
ROUGH PLUMBING
�"/'TOTAL FEE QQ GAS PIPING /f
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER T IGS
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE FINAL
OFPERMITTE
® ROBERT A WOOD
VALIDATION SUPERVISING MECHANICAL ENGR
CK Y O CASA
LAC&o 2 7 2 � ML 2 0 5 0 300 ;