HomeMy Public PortalAbout9721 WEDGEWOOD ST - Plumbing - 1970-09-14 76 /i 667_CE 817 8/68
Z.c ' - "` APPLICATION FOR PLUMBING /PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9721 East Wedgewood
'COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALI'T'Y Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER John Youngson
BATH TUB 1.50 ADDRESS
/ SHOWER 1.50
CITY TEL. No.
LAVATORY 1.50 O CONTRACTOR Owen Bros. Plumbing,Ino•
SINK 1.50 t7 ADDRESS 4265 North Baldwin Ave.
DISHWASHER 1.50 Q CITY El Monte TEL.NO. 4430078
STATE �7LIC
CLOTHES WASHER 1.50 LICENSE NO. �31 141 . CLASS C 36
SWIMMING POOL RECEPTOR 1.50
DIST ICT N . GROUP N P ESSED BY
LAWN SPRINKLER SYSTEM 2.00 ,�j� v
WATER HEATER 1.50 �� INDUSTRIAL �✓� Z
WASTE APPROVAL o
GAS SYSTEM 6UTLETS 1.50 INSPECTION RECORD W
OUTLETS OVER 30
5 PER SYSTEM
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE cc APPROVALS DATE 1 ECTOR S NATURE
Plan check applicant UNDER SLAB WOR
Name, ROUGH PLUM Q.
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER n
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D CRIBE ESIDENTIAL PROPERTY. ..FINAL
SIGNATUREJACK R. ALLEN, SUPERVI5I ME HANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
Un- -6 7 3 89 SO 14 5 0 2 0.00-