HomeMy Public PortalAbout4923 ALESSANDRO AVE_Plumbing__ c
76A667 CE11817 6 65
APPLICATION FOR PLUMBI G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEEn/ z,
/U
WATER CLOSET $125 OWNER fi ('
MAIL
BATH TUB 125 ADDRESS { 1—J17 DR G
SHOWER 125 CITY TEL NO
LAVATORY 1 25 CONTRACTOR D 1-7,M1/1y1`I
SINK 125 ADDRESS d 3 / " "—'1 Nl 5 fV
DISHWASHER 1 25 CITY TEL NO
STATE LIC /
LAUNDRY TUB 12S LICENSE NOCLASS
CLOTHES WASHER 125 DISTRICY Nqn' GRO ZO E P O SS BY
WATER HEATER 150 (JX
GAS SYSTEM 1 SO INDUSTRIAL OUTLETS WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O
w
O
f—
U
w
D_
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LIC TION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES A�
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST n �,�
A OR THAT I AM THE LEGAL OWNER OF AND INTEND TO / J
THE ABOVE DE IBED RESIDENT PROPERTY UTILITY CO NOTIFIEDyvREMITTEE
FINAL / t'rs/
VALIDATION
CK M O CASH
L&07 8 # 71-0 HAR30 5 D 4.75-
a I