HomeMy Public PortalAbout5927 ROWLAND AVE_Plumbing__ 76A667-CEBI7 8-59
APPLICATION OR PLUMBNCG- PERMIT �
COUNTY .OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,.
RunDING AND SAFETY DMSION BUILDING
_JOHN A.LAMSIE, County Esaer ADDRESS 59 7 ROtaland
CASSATT D. GRIFFIN,Supt of BuiWingr LOCALTI7 Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. in c
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL_.NO.
SHOWEB
LAVATORY
CONTRACTOR p�h (; A l l i P C'O e
1 S= ADDRESS 7821 E Garvev Ave ;-
DMHWASHEB cITYSOa San Gabriel NO-AT 05349
CONTRACTOR'S STATE
LAUNDRY TM REGISTRATION NO. C-36 COUNTY
-01
CLOTHES WASHER DIS�T.RRIIC'TNO. I QR9MP ZONE. P CESSEDBY
Z WATER HEATER V
Z GAS SYSTEM t" InEDUSTRIAL
ASTE.APPROVAL
INSPECTION RECORD
-60 colpt Re L C Fd
$1.00 PER ITEM A46-7-r-IIVISH450 00 VWW)
OR FIXTURE
3®00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEEH5s O ROUGH PLUMBING Z'
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT ,THE :ABOVE 1S CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I 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 THE LEGAL OWN THE ABO
DESCRIBED RESIDENTI OPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE.7
FINAL — �� iGl/]GfLfl��
4
®� IMATION ROBERT A.WOOD,
cK. M.o. GASB SUPERVISING MECHANICAL.ENG'R
L ��23440 JJ-'a16 5 D 5.0