HomeMy Public PortalAbout6153 ROSEMEAD BLVD_Plumbing__ 76A557 -CE=E317 o'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAM BI E, COUNTY ENGINEER ADDRESS 613 No . ROsP.mParl
WILLIAM A. JENSEN, SUPT OF BUILDING /
LOCALITY j em le City,
FOR APPLICANT TO FILL IN cRossssr. Carib
NUMBER FIXTURE OR ITEM
owxEs �rI o m Sm ar t i s
mAm
WATER CLOSET
ADDRms6l53 No. Rosemp
BATH TUB
SHOWER CITY Elle m TEL NO. At 7-L,7 ,
LAVATORY CONTRACTOR ARCD yL Tr
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SINK ADDRESS 527 deSt Gary
DISHWASHER orryI'7onterev NO. CU
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 113206-C36 COUNTY
CLOTHES WASHER DISTRICTNO. GROUP ZONE SEED BY
WATER HEATER 171
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GAS SYSTEM INDUSTRIAL 0
WASTE APPROVAL
INSPECTION RECORD cr
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W
0.
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@ $1.00 PER ITEM
1 OR FIXTURE $ 1. 50 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
IITOTAL FEE rid ROUGH PLUMBING
O _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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE '
FINAL
VALIDATION ROBERT A. WOOD
/
M.O. CASH SUPERVISING MECHANICAL ENG'R
CK.
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