HomeMy Public PortalAbout5314 ALESSANDRO AVE_Plumbing__ 76A66�CE817 12/59 i ���
APPLICATION OR PLLJ INC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING I�,SFJFETY QIVISION BUILDING
JOHN A L MBI OUNTY NGINEER ADDRESS
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST / v
CROSS ST
NUMBER FIXTURE OR ITEM OWNER C ` TGA
WATER CLOSET 2
ADDRESS BATH TUB ESS S+1/4 !1AAFSSA;ud.eo
SHOWER CITY -F, CL TEL NO
LAVATORY CONTRACTOR is
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SINK ADDRESS
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DISHWASHER CITY U)j1=-S-r('Prj,,Aj4 TEL NO Fv a-cbf'oj
CONTRACTOR S // ^ STATE
64
LAUNDRY TUB REGISTRATION NO f® COUNTY ❑
/ CLOTHES WASHER DISjptIICTT NO _-p_ oull ZONE PRO ESSED BY
l WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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041
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�j @ $1 00 PER ITEM
` OR FISTUHE $ APPROVALS DATE, INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE / :�� ROUGH PLUMBING
GAS PIPING 7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES v s
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
00,
DESCRIBED RESIDENTIAL,
ROPERTY UTILITY CO NOTIFIED r
SIGNATURE f I
OF PERMIT TE Sol
®P VALIDATION ROBERT A WOOD
C d 0 CASH SUPERVISING MECHANICAL ENG R
Y
L`2_30044 JUL14 5 0 l 1 0 () kt