HomeMy Public PortalAbout6121 SAINT JAMES DR_Plumbing_5/18/1965_ Fr[A[[T•CEESIT 9/63 v l
APPLICATION FOR -PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEP[]A]]RTTMENTj{]O�F C�{O�UNj]T�Y ENG BDDDDTa
BJO-fifiIIA�.�m IEP OUNTY ENGIN[ ADDRESS / a ILOt 3
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple City
FOR APPLECAM TO FELL IN CROSS
ST ZWQ=BX93*F
NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CR
3 WATER CLOUTBI n mAm Ba-ldxin Builders
1 RATH TUB In 1 25 ADDRESS µ.u.6 N. Baldwin
SHOWER -In 1 25 " T El Monte TEL No 443-5710
2 LAVATORY inj 2 50 CONTRACTOR Ogen Bros Plumbing '
1 SHi[ jul 1 25 ADDRESS 4265 N. Baldwin
1 DISHWASHER 175 1 25 al7i El Monte TEL No L43-0078
LAUNDRY TUB 125 REGL4�TRACTIION NO 2317 COUNTY
1 CLOTHES WASHER 175 12 DISTRICT NO GROUP ONE C[BB¢D BY
WATER HEATER 150
Y
1 nOUSTRIAL
OAS SYSTEM OUTLETS 1 so
1 WASTE APPROVAL o_
OUTLETS OVER S PER SYSTEM 70 u
R18PECTTON RECORD
4 0
IF
-� Z
o z �
APP L8 PATEINSPECTOR
PERMIT f 2 OO UNDE tGrR WOR 4 1A
ROUGH PLUMBING
TOTAL FEE 17 50 GAS PIPING r
I N[IQ[r ACRNowL[OO[ THAT I HAVE READ THIS Anuu ON GAS VENT
ANO [TAT[ THAT THE AOOY[ 19 CORRECT ANO AOR[f TO COMPLY
WITH ALL COUNTY ORDINANCE[ AND [fAT[ LAW[ REGULATING
PLUMOIHG HOT WATER HEATER
I H[R[[Y CERTIFY THAT I AM PROPERLY R[OI[T[RED AND/OR PLUMBING FIXTURES
LIC[N[[O A[ R[GUIRSO BY LO[ ANGEL[[ CC IVY AND [TAT[ OF GAS TEST
GLIFORNIA OR TH T I AM THE LEGAL OWNER OF AND IMWD TO
RUIDE IN rH[A[ RI[ED R[nD[Nr PROP[Rry [�
UTILITY CO NOTIFIED �V
SIGNATURE
OF PERMITTEE
FINAL (�
m 0 C ROBERT A WOOD
CN M o CASH $UPERV181NG MECHANICAL ENG R
;1 r 1763 MAY 18 .5 D 17.50-