HomeMy Public PortalAbout5335 ALESSANDRO AVE_Plumbing__ 7¢ A 667v- CE 817 7 69
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'APPLICATION FOR PLUM ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY :7e G i/
FOR APPLICANT TO FILL IN (PR NT OR TYPE NEAREST
CROSS ST ✓L'
NUMBER FIXTURE OR ITEM EACH FEE
OWNER eip j- O 0 P
WATER CLOSET 1 50 l �(�
MAIL
' BATH TUB _ 1 50 ADDRESS t3� G'SSHN CPQ
SHOWER 1 50 CITY TEL NO
l ��
LAVATORY 1 50 CONTRACTOR ��sP
SINK 1 50 ADDRESS /r•!�+ bo J�
DISHWASHER 1 504 CITY a TEL NO S /!-
CLOTHES WASHER 1 500
STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 1C�O G OUP EQNE ESSED BY
LAWN SPRINKLER SYSTEM 2 00
WATER HEATER 1 50 INDUSTRIAL }+
C',
WASTE APPROVAL V
GAS SYSTEM OUTLETS 1 50 v PECTION CORD
OUTLETS OVER O
5 PER SYSTEM 30 1
z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE ;01d
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING 24-76, 17) OW Z4
Address GAS PIPING A, gin SjjJ 97 ;yj.Zk nd
GAS VENT
City Tel NO HOT WATER HEATER
LDABY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION PLUMBING FIXTURES
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST (� J
GEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIEDD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TON THE ABOVE DESCRIBED RESIDENTIAL PR PERTY FINALURE JACK R ALLEN SUPERVISING CHANICAL ENG R
RMITTEE PERMIT VALIDATION cK �M o CASH
PLAN CHECK VALIDATION cK M o CASH
4G2 HAR10 5 D 1, 250` Q
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