HomeMy Public PortalAbout5324 ALESSANDRO AVE_Plumbing__ 76A667 -CE#x817 2.62I�.
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAM BI E, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY ��
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
r SINK 1.25 ADDRESS va-5� rift-%
DISHWASHER 1.25 CITY TEL. NO. "r ;2-5
STATE
LAUNDRY TUB 1.25 CONTRACTOR'S COUNTY [jREGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT N.O. GROUP ZON PR ESSED BY
' WATER HEATER 1.50 -
GAS SYSTEM S OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD d
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APPROVALS PATE INSPECTORS SIGNAYURE
PERMIT $ 2 00 UNDER SLAB WORK P A " _ `-� for
ROUGH PLUMBING
TOTAL FEE
GAS PIPING _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF „
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST .;
RESIDE IN, THE AB E DES IBED RESIDENTP ROPE RTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
�LIDATION ROBERT A. WOOD
c/ M CASH SUPERVISING MECHANICAL ENG'R