HomeMy Public PortalAbout5334 ALESSANDRO AVE_Plumbing__ 7MW7-;E617 10 60 I ,�
APPLICATION FOR P UMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AM SAFETY DIVISION B
UILDING
JOHN A MBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM WATER CLOSET BATH TUB TEL NO
SHOWER
LAVATORY CONTRACTOR
ADDRESS
SINS
DISHWASHERC TEL NO
TE
LAUNDRY TUB REGISTRATION NO / COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE P ESSED BY
R
WATER HEATE
GAS SYSTEM INDUS
WASTE APPROVAL }
INSPECTION RECORD a
o
r fo
d � /
i� $ d APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SaB WORK
TOTAL FEE ROUGH PLUMBING10-
GAS PIPING d
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 2
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE T
OF PERM ITTE FINAL `
VALIDATION ROBERT A OD
cK M O CASH SUPERVISING MECHANICAL ENG R
LAi04 3 7 5% SEP17 5 P 15.0 0, 4