HomeMy Public PortalAbout5319 ALESSANDRO AVE_Plumbing__ �r
76AB67-CE817 6-60 D
APPLICATION FOR PLUMBING PERMIT 1
COUNTY
OUNYENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT of BUILDING
IT 71f
FOR APPLICANT TO FILL IN NEAREST r L
CROSS ST.
NUMBER FIXTURE OR ITEM
I OWNER
WATER CLOSET /
ADDRESS
F S F G S
BATH TUB
SHOWER CITY / , TEL. NO.
LAVATORY CONTRACTOR L= Id, Rr�,
SINS
ADDRESS Ll C,_) e
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DISHWASHER CITY ct), a TEL. NO.G ^t✓1O er j
CONTRACTOR'S / STATE
/
LAUNDRY TUB REGISTRATION NO. C (Cr 4 1O COUNTY
' CLOTHES WASHER DISTRICT NO. GROUP P OCES D Y
WATER HEATER QQ
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
0
U
O
F
0 $1.00 PER ITEM I r J D
OR FIXTURE $ ( APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 02, 00 UNDER SLAB WORK
TOTAL FEE �j/� ROUGH PLUMBING
` GAS PIPING !
LDESCRIBED
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
L COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER r�r
G.
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST i.
I,' A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
ED RESIDENTIAL ROPERTY. UTILITY CO. NOTIFIEURERMITTE
FINAL J
OF VALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
J