HomeMy Public PortalAbout5134 ROSEMEAD BLVD_Plumbing__ 24
76A667-CE817-11-57
APPLICATION FOR ;PLUMBING. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, CountyEngineer ADDRESS 5134 N. Rosemead Blvd.
_ CASSATT D. GRIFFIN, Supt of Building
LOCALITY ROSeme2.d
FOR APPLICANT TO FILL IN i NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM - -
2 WATER CLOSET OWNER Calvin H. Campbell
MAIL
BATH TUB ADDRESS
1 SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR Belvedere Plumbing Co. '
1 SINS ADDRESS 11900 E. Garvey Ave.
DISHWASHER CITY El Tulonte TEL. NO-GI 89836
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. 179568 COUNTY ❑
'
1
CLOTHESWASHER DISTRICT NO GROUP ZONE READY FOR INSPECTION
WATER HEATER %fj�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
-4-
APPROVALS
@ $1.00 PER ITEMDATE INSPECTOR'S&IGNATURE
10 ORFIXTURE $ 1-0.00 UNDER SLAB WORK �� e
PERMIT too - ROUGH PLUMBING 724
TOTAL FEE 12.00
GAS PIPING P
I HEREBY_ACKNOWLEDGE THAT l HAVE 'READ THIS APPLICATION GAS VENT _ AAND STATE THAT. THE ABOVE IS CORRECTANDAGREE TO COMPLY - HOT WATER HEATER ,NO
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - w
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ,AND/OR GAS TEST
LICENSED AS REQUIRED,BY LOS.ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL NER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P OPERTY.
SIGNATURE - FINAL /
OF PERMI- ✓��-� -
ROBERTA.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
IL.0. CASH