HomeMy Public PortalAbout6315 PRIMROSE AVE_Plumbing__ 7BAS07-CE81710-60 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTBMT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION i3uimnvG
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6alf'N o. Primrose.
WILLIAM A. JENSEN, SUPT OF BUILDING
LOC' Temple City
FOR APPLICANT TO FILL IN CROSSRET. Longden
NUMBER FIXTURE OR ITEM OWNER
Miller & Price
WATER CLOSET KL
BATH TUR ADDRESS, .
CITY TEL NO.
1 SHOWER
LAVATORY CONTRACTOR Standard Plumbing Co: •.
SIIliB ADDSSSS ' Olorance
.
AlrA
DISHWASHER C�- . 3e l l • TEL.No. L 7-1124
LAUNDRY TOB REGISSTRAC TION NO. 39243 COY
ATEUNTY
�t CLOTHES WASHER DISTRICTNO. GR 20NE P CEBBED BY
1. WATER HEATER 19 . L
GAS SYSTEM INDUSTRIAL.
WASTE APPRQVAL, C /?
1 1NSP =55 RECORD O
i_h
o
Q $1.00 PER ITEM I i
12 OR FIXTURE $ 1 50 APPROVALS ATE' INSPgCTOR'S SIGNATURE
PERMIT $ 2 •00. UNDER SLAB WORK ` �G
TOTAL FEE ROUGH PLUMBING J -I l-4 w
174 GAS PIPING J f
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION C /
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROP.ERLY-REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OR GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF HE ASO
DESCRIBED RESIDENTIAL PRO UTILITY CO.NOTIFIED
SIGNATURE
OF PERM.
TTE FINAL
ALIDATION ROBERT A. WOOD
t 8 CK. M..O. CASH SUPERVISIN ,MECHANICAL ENG'R
LACO,3 8 9 7% SEP 4 5 D 1 7.5.0^' .�