HomeMy Public PortalAbout5434 WELLAND AVE_Plumbing__ MM67-CIM17-8-56 #394
APPLICATION FOR -PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
s MIINnG�Sl�� DMSI�ON ADD=S 5434 telland,.
C.10MI D.GRWJN,5 a aim Low Temple Cit .
FOR APPLICANT TO FML IN CRN OS ST. •
NUMBER FIXTURE OR ITEM
1 WATER CLOSET OWNER Wilton R. Brace Jr. .
1 DATE TDB M. 4522 Huddart Stteet,
SHOWER CITY El Monte •TEL.No.
LAVATORY cORMCTOR Fontana Plumbing Cont
1 SINS ADDRRss 13329 E. Ector Street,
DISAWASAER c I of Industry TEL.No. ED 7-7226
CONTRACTOR'S STATE fa
LAUNDRY TUB REGR3TBATION NO. 96496 cov= ❑
1 CLOn=WASHER DISTRICT NO. GROUP Z E tFSSEDjlBlY
]. WATER.ABATER '
GAS SYSTEM ]NDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
;1 APPROVALS
7OS F 8 QRB $ I 7.00AT CTO SIGNATURE
UNDER SLAB WORK �-
PERMIT $ 2100 ROUGH PLUMBING / 3�
TOTAL FEE 9 O GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �j �/.—
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST 1 �/�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED /1 '/ J
DESCRIBED. RESIDE L PI
PERTY
c
SIGNATURE FINAL , ��1 J
OF PERMITTEA�i�
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CR. M.0. CASH
L_AC07 3 5 0 M1 5 A 9_0 C} M