HomeMy Public PortalAbout6327 PRIMROSE AVE_Plumbing__ t.: TEMPLE CITY
76A607-CE817 10-60
APPLICATION FOR ' PLJME.ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIN
BUoILHDNIIAC ► EPA
oElEHsONADDRESS 6327 0. P
WILLIAM A. JENSEN. SUPT OF_BUILDING
LOCALITY Temple:
FOR APPLICANT TO FILL IN E OSS T
BUILDING.. Lorwden
NUMBER FIXTURE OR R ITEM
OWNER
WATER CLOSET= MAII. l
I• BATH TUB ADDRESS
CITY TEL.NO.
11 SHOWER
LAVATORYcom"AcTOR .Standard Plumbing
anus L ADDRESS 4333 E. Florence Ave..
1 DISHWASHER Z ci7r Bell - TEL.NO. LU'7-112-4
t LAUNDRY TOB REGISTRATION NO. 39243' COUNTY p
CLOTHES WASHER DISTRIIyaV!?. GROUP ZONE P SSED BY
WATER HEATER �s
GAS SYSTEM S� INDOISTRIAL.
WASTE APPROVAL
lDisposgi. INSPECTION RECORD _-.-[ d
O
G
0S ER ITEM / I
12' F11�uRE $ I 15 .5 /AP 'llSDATE°,. INSP-EC)'OR•S SIGNATURE
PERMIT $. 2 •00' UNDER B WORK c ��C^� ? I" iV
TOTAL FEE 1rf rJQ ROUGH PLUMBING
GAS PIPING
IH BUSY ACKNOWLIfDGE THAT I HAVE READ THIS APPLICATION -
• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT I - •�
WITH ALL COUNTY ORDINANCES AND. STATE LAWS.REGULATING `!
( PLUMBING. HOT-WATER HEATER /�
1 HEREBY CERTIFY THAT I AN PROPERLY •REGISTERED,AND/OR PLUMBING FIXTURES /I. A _ 'Iv. 7, •
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ' ,J If�j;���L�"p
CALIFORNIA OR- THAT 1 AM THE LEGAL OWNER OR THE ABO 6
` DESCRIBED RESIDENTIAL PR 7lrrY;00,eUTILITY CO.NOTIF D - C{SIGNATUOFPERMITTFINAL
VALIDATION OBERT A WOOD E
Lot �t5' �. M.O. CASH SUPERVISING MECHANICAL ENG'R
1: 4% AUG30 5 D : 1 750-
r