HomeMy Public PortalAbout6323 PRIMROSE AVE_Plumbing__ 7sAsm-csei7 IMOTEM LE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGg1=
DEPARTMENT OF COUNTY ENGINEER
BUILDING
BONnAA� OH . LAE CUNTTY ENGINEER ADDRESS 6323 No. Primrose
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN MfflS. Lon&d on
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
], RATS TUB ADDRESS
CITY TEL.NO.
1 SHOWER
LAVATORY CONTRACTOR Cst arida rd P lumb i n C o.
1 Snx ADDRESS 4333 E. Florence Ave. ,
I• 1 DMHW&%= CITY - Bell TEL..NO: LU 7-1124
LAUNDRY TUB �ffiTRATIO NO. 3924--a CoUNTTY
u CLOTHES WASHER �. DISTRICT NRO:, GROUP ZONE P SEED BY
P' S.
5 1 WATER HEATER
a 1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL a
1 Disposal =PECTION RECORD 0
.O
G
12 nCTUeE $ 15 bL APP%)yAlL-S-;,:.s f DATE f INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING,- -
TOTAL FEE 1171.50 '
GAS PIPING
.I,HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ,
AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS_ REGULATING HOT WATER HEATER /
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTUR I-J/'I'S//. rl 1� wl^� /. , .•
•LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OR THAT I AM THB LEGAL OWNER.OF THE ABOVE '' GAS TEST �• �� —f,� ,—y-V
+ DESCRIBED'RESIDENTIAL PRO RTY. P UTILITY CO OTIFIED 7 T
9
SIGNATURE 1 n �S j 4►i /�
OF PERMITTE FINAL.
VALMATION• ROBERT A."VIIOOD if
cK. M.O. CASH SUPERVISING MEC�IANICAL ENG'R '
Lot ,#6,
.3 7 1 5" AUS30 5 D L& 17.50"
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