HomeMy Public PortalAbout5318 ALESSANDRO AVE_Plumbing__ 76A667 (CE 017) 5/73 I _
APPLICATI01 F R PLfMBA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT COUNTY ENGINEER , LOC l } A
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
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CROSS ST
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 1 75
MAIL n -
BATH TUB 1 75 ADDRESS J f
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SHOWER 1 75 CITY , TEL NO
LAVATORY 1 75 CONTRACTOR a ,�
SINK 1 75 ADDRESS tibga o r �Q
DISHWASHER 1 75 r �r TEL N
CI O a�76
CLOTHES WASHER 1 75 STATE VLIC
SWIMMING POOL RECEPTOR 1 75 LICENSE NO (g
DISTRICT NO GROUP E OCESSED B
LAWN SPRINKLER SYSTEM 1 75 � �
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WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL >.
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD O
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OUTLETS OVER 30
5 PER SYSTEM O
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR 9 81r NA TUBE
Plan check applicant
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY r
FINAL -Zr_ Lr�, „r
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GNATURE II /' I6
OF PERMITTEE 1 kro—,(„j
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION CK M 0 CAW 4 ��JAN -L ) Us
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