HomeMy Public PortalAbout5527 ALESSANDRO AVE_Plumbing__ APPLICATION FOR PI MIRING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ��
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS J
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY LprYY)
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER � d
MAIL
BATH TUB 1,25 ` ADDRESS
SHOWER 1.25 CITY TE/L. NO.
LAVATORY 1.25 CONTRACTOR e '� u�b I
SINK 1.25 ADDRESS+ k. 4ee e
DISHWASHER 1.25 CITY / IV6)'
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LAUNDRY TUB 1,25 CONTRACTOR'S // q �0STATE
REGISTRATION NO.C-'"-3.b D6.3&`� COUNTY ❑
CLOTHES WASHER 1.25 DIST T NO. GROUP ZONE PRQCESSED BY
WATER HEATER �p 1.50 �v , Y
GAS SYSTEM J OUTLETS 1.50 `�I INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD d
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[. APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST 1.
RESIDE IN,THE ABOVE ESCRIBE RE�NTI�OPERTY._ UTILITY CO. NO. FIED
SIGNATURE
OF PERMITTE —
FINAL '
/�—,�ALIDATION ROBERT A. WOOD
CK. J M.0- CASH SUPERVISING MECHANICAL ENG'R
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