HomeMy Public PortalAbout5514 ALESSANDRO AVE_Plumbing__ J
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE County Eng�neer ADDRESS J J`_1 / eS ]STATE
`-CASSATT D GRIFFIN Supt of Building--.31,V, -710�I -T'r 7- T LOCALITY FOR APPLICANT TO FILL IN EA sSTToNUMBER FIXTURE OR ITEMOWNER G `oWATER CLOSETMA1Z
BATH TUB ADDRESS
SHOWER_ CITY TEL NO
LAVATORY CONTRACTORSINS ADDRESSDISHWASHER CITY /�d/!//'(�if!/ TEL NO i l'CONTRACTOR 3 LAUNDRY TUB REGISTRATION NO 2Q
+ CLOTFIF4 WASHER DISTRI O GROUP ZONE UESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIA.
WASTE APPROVAL ` -
INSPECTION RECORD
2SRa k99--7
D,
10"-M,05 A/
APPROVALS
O @ $1 DUPER ITEM
/ OR FIXTURE OR DATE INSPECTOR S SIGNATURE
UNDER B WORK / � ( ?
PERMIT $ 2100 ROUGH PLUMBING - 1��ll"I_q aw r
TOTAL FEE /J GAS PIPING _ j- y',/W
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST /7 L.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED .7 �sYXR9t�Pi vA
DESCRIBED RESIDENTIAL OP R r -.
SIGNATURE FINAL
OF PERM ITTE
ROBERT A WOOD
Or VALIDATION
SUPERVISING MECHANICAL ENG R
R ti m 0 CASH
i
C05 1 9 5L' IFR 16 5 A 1200