HomeMy Public PortalAbout5521 ALESSANDRO AVE_Plumbing__ 76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT
COUNTY
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ClffrrOHN A LAMBIE CouatF Eng�neer ADDRESS
TT D GRIFFIN Supt of Build�ag
LOCALITY 6-6/d&
CL
FOR APPLICANT TO FILL IN NEAREST
ROSS ST d
NUMBER FIXTURE OR ITEM
WATER CLOSET MALLBATH TUB TfY 144, TEL NO
SHOWER
LAVATORY CONTRACTOR 60
SINS ADDRESS
DISHWASHER CITY 444 IC471. NO
CONTRACTOR S (� STATE
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER ! j(D
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
I
APPROVALS
OR O PER Ug 5 `�G'd DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE � v GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT L PROPERTY
SIGNATURE I �/�r FINAL / _s
OF PERMITTEE
®" VALIDATION ROBERT A WOOD
SUPERVISING MECHANICAL ENG R
CB 6t 0 CAS
UkCo 2 .5 1 9 Ln SES' 8 5 A .5 U U �