HomeMy Public PortalAbout5923 ROSEMEAD BLVD_Plumbing__ 76A667-CE#817 6-65
APPLICATION FOR PLUMBING PERM';�-7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS !a
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �o
7.
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE
CROSS OWNER
WATER CLOSET $1.25
BATH TUB Lm MAIL
ADDRESS �
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRAC
SINS 1,25 ADDRE. ,.
DISHWASHER 1.25 CITY cn
LAUNDRY TUB 1.25 STATE LICENSE N o C/ 4/� LIC
CLASS
.CLOTHES WASHER 1.25 D STRICT NO ZONE P
WATER.HEATER 1.50
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 0
WASTE APPROVAL
OUTLEYOVER 5 PER SYS .30 / INSPSCTIQN RECORD
/ Q U
V
W
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCE@ AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CO. TY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWN .AND 1 END TO SEE
IN,THE ABOVE DESCRIBED RESIDEN OPERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITT FINAL ^
LIDATION
CK. M.O., CASH
LACO 7 1 0- JAN 11 5 D 3,50- 9