HomeMy Public PortalAbout9006 ROSEGLEN ST_Plumbing__ D"-17 APPLICATION FOR PLUMBING PERMIT 1
D...I (DIVISION OF BUILDING AND SAFETY
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' JOHN A.LAMBIE. ouLINTY NTY E ENGINEER ADDREB9
CASBATT D,GRIFFIN.BUP'T OF BUILDING
LOqALM
FOR APPLICANT TO FILL IN NEAREST +
4CROSS 8T.
OWNER PjggO G d DISTRICT NO. GROUP ZONE l[ADT FOR INSPECTIO14
MAIL
ADDRESS
INDUSTRIAL
CITY TEL, NQ, w APPROVAL
PLUMBER Valley Plumbing Coo INSPEG'i'ION RECORD
ADDRIL" 442 W. Fleetwood P1 .
CITY Glendora TRc NO. Ed 5-12—'
LICaNAE NO. 160847
NUMm[R TYTi OF PUK UXI OX ITOf F[=
WATIR CLOSET'<TOILET) I.00
BATH TUE 101.00
SHOWER (2 •1.00
LAVATORY (WASH BASIN) q I.00
KITCHEN SINK j1.00
DISHWASk 1.00
LAUNDRY TUE OR TRAY Q 41.00
I
CLOTHES WASHER 1.00 -
WATER HEAT 1.00
GAS SYSTEM 111.00
APPROVALS
PATq IXSPEC70R`S Sfi;NATURE
IT 165v IR
UNDER bt::#M WORK /I'" r'' r•-V (t��.-�. !
PERMIT 1 00 ROUGH PLUMBING
GAD PIPING
TOTAL FEE Q GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOR
AND STATE THAT THE ABOVE IS CORRECT AMD-AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBIN FL%TUREH
1 HEREBY UIRSIFY THAT 1 AIL PROPERLY. REGISTERED MD/OR GAS iM.gI
LICENSED AS T{HgU1RED BY LOS ANGELES COUNTY AND STATE OF
CCAA��..I1FORMA OR THAT I AY E LE L OWNER OF THIZ ABOIE UTILITY CO.NOTIFIED
BESCRIBED RESIDENTI P TY.
SIGNATURE
OR PERMITTEE 30L
JOHN A. LAMBIE, COUNTY ENGINEER ALIDATION ROBERT A.WOOD. CHI[F PLBG. INSPErTOR
�: � 26s�
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