HomeMy Public PortalAbout5510 ALESSANDRO AVE_Plumbing__ 76A667 CE817 6-60 C�
APPLICATION FOR PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A L.AMBIE COUNTY ENGINEER ADDRESS J J
WILLIAM A JENSEN SUPT OF BUILDING j
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
ADAIDRESS �l� �
HATH TUB
CITY TEL. NO Q 1�O
SHOWER
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[CONTRACTOR
LAVATORY
SWK ADDRESS
DISHWASHER CITY Pj TEL NO —Q O
CONTRACTOR S ? STATE
LAUNDRY TUB REGISTRATION NO / f�J COUNTY
CLOTHES WASHER DISTRIICCTN GRJ ZO P O ES BY
WATER HEATER J/~' i
GAS SYSTEM e cJ INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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0
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$1 O0 PER ITEM
OR FECrURE /(W APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $—H 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES j
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE �
OF PERMITTEEZ2FINAL
®� VALIDATION ROBERT A WOOD
CKm p WB 5UPERVISIN6`MECHANICAL ENG R
Li 1,0 8 6 0 6 P.PJ 15 5 0 300 M