HomeMy Public PortalAbout5565 SANTA ANITA AVE_Plumbing__ 76A667-CEil617 5/69' 61rV -2.11
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 556:f Double Dr.
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEARS ST : D a i n e s
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 .232fd OWNER Mayer Const.
BATH TUB 1.25 ADDRESS
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SHOWER 1.25 CiTY . Downey TEL. NO.
LAVATORY 1.25 3 7S' CONTRACTOR Earl(Pat)Stand 1'e I n c
SINK 1.25. o ADDRESS Box 408
DISHWASHER 1.25 2-2- S-0 CITY E 1 Monte TEL. NO-444-1559
LAUNDRY TUB 1, CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 3 S� DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1: INDUSTRIAL D_
50 �Q
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
Aq hx Ix
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2' 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ,✓ /J GAS PIPING
T`7 -00 L_iAp7Z-
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '
WITH ALL COUNTY ORDINANCES AND :STATE -LAWS REGULATING HOT WATER HEATER
PLUMBING. .
1 HERESY 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 1 AM THE2LEGAL OWNER ,AND 1 TEND TO
RESIDE IN,THE ABOV ESCRI P PERTY UTILITY CO.NOTIFIED v
SIGNATURE
OF.PERM ITT
FINAL i /
0C.
ALIDATION ROBERT A.WOOD
M.0.11 CASH SUPERVISING MECHANICAL ENG'R
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