HomeMy Public PortalAbout4827 ALESSANDRO AVE_Plumbing__ 76AS67A
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ^^-7 � !J/
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NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY G/�C- /,L/ �eNEAREST
BATH TUB CROSS ST "-� U�� �LL�✓!��
SHOWER07C) OWNER ���Ge�J
LAVATORY MAIL �w
ADDRESS
SINK 4ADDRESS
TEL NOl
DISHWASHER TRACTOR
CLOTHES WASHER �� �l� � f�3�j
SWIMMING POOL RECEPTORG �" CJ /
TEL NO
LAWN SPRINKLER SYSTEM TE LIC
WATER HEATER NSE NO i"fj CLASS
GAS SYS EM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER DER SLAB WORK old5 PER SYSTEM UGH PLUMBING
S PIPING 0
GAS VENT v
HOT WATER HEATER 1 0
PLUMBING FIXTURES
GAS TEST /0_4;7, �� /J Z-^ !lIIIIyLLt
Plan check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 1
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALID ION
Name
j^ C S O 453 53
Address ^ (/� �
City C �� el No ,! 1 /s jes
I HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 7
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION �] 53,1 6:;A,I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS ^ tl'o
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE �,j'�'
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESC D RESIDENTIAL --
PROPERTY 2 0 0 2 2 0 0
SIGNATURE �j
OFPERMITTEE O O O G Z Q O(.D
DISII,0 NO PR ED BY Q",A 0 9-7 9
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INDUSTRIAL
WASTE APPROVAL
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