HomeMy Public PortalAbout9914 WORKMAN AVE_Plumbing__ 7BA667-CE817-B-59 3 7 Yl
APPLICATION. FOR PLUMBING PERMIT 1 .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGI VEER
BUUDING AND SAFETY DMSION sIIaDaiG
rOE N A. LAMSIE, County er ADDRESS 14 Workman Ave.
CASSATT D.GRIFFIN.Supt .Mala$ LoCALITY Tem 7e City Co.
FOR APPLICANT TO FILL IN REAREST Y
NUMBER FIXTURE OR ITEM CROSS ST.
2- WATER CLOSET OWNER 17i11 iam R. E. Hadley
MAIL
1 DAM TUB ADDRESS 981 Briarcliff
1 SHOWER C= Monrovia CaliSL.No.
LAVATORY CONTRACTOR 1= vedere Plumbing
1 gmg ADDRESS 11960 E, GamyBlvd,
DISHWASHER crrr El Monte, Calif. TEL.No.GI 89836
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
1CLOT=WASHER DISTRICT GROUP E/ PFJOCESSED
1 WATER HEATER
]. GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
j7- E
LEAK R T y,99FZ d Gt/NeP7"
ITEM
APPROVALS
0 soi.00 PER
R FEgTM to $ 10.00 pL jfDATE INSPECTOR'S SIGNATURE
UNDER . WORK
PERMIT S 2 00 ROUGH PLUMBING -Z r
TOTAL FEE 12.O0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER J��_b1�v Ie �
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING y
PLUMBING. PLUMBING FIXTURES -25- t=0r r�U,
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST Sr 9, �Gy ® i
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED ?r'�
DESCRIBED RESIDENTIAL PROPERTY.
8IGNPERME 7y rAG�tYl �/ FINAL > /�
OF � .�I•'-.,�� 1 f_A.sr f�.�w.!
ROBERT A.WOOD.
®p ATION SUPERVISING MECHANICAL ENG'R
C8. M.O. CASH
I� 8338 JUL 5 A 12' .00 `�