HomeMy Public PortalAbout5317 ALESSANDRO AVE_Plumbing__ �p�g� C 719pp..�( pq.�g��/�pg
DEIS 17 APPLICATION FOR PLUMBING PERMIT
DBS 17 10 58
DIVISION OF BUILDING AND SAFETY 15-3
Deportment of County Engmeer
County of Los Angeles BUILDING A1lesandr0
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER C Spr F7NDU
CT NO GROUP I ZQNE ADY FOR INSPECTION
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MAIL (//`j/
ADDRESS 'Sa� �.AL
CITY TELNO PROVAL
PLUMBER GENERAL INSTALLATION COINSPECTION RECORD
ADDRESS 6558 West Blvd
CITY L A 43 TEL NO PLeasant 3-2541
LICENSE NO 787 C-36 151839
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASHBASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ S100
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
1 WATER SOFTENER 1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
,p
PERMIT $ „a- 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 00
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL Pf�EWR
SIGNATURE `/J (j��
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER LIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
K B O CASH
L,,iuo 0 2 5 9 5 14AY 4 5 A 3 0 0In