HomeMy Public PortalAbout5546 ALESSANDRO AVE_Plumbing__ 76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ell
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE CountF En eer ADDRESS ,
CASSATP D GRIFFIN Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER t
WATER CLOSET MAM e.-
BATH TUB ADD L . r
SHOWER CITY TEL N g�j D
LAVATORY CONTSA O8 �
SINK ADDRESS
DISHWASHER CITY TEL NO
CON CS STATE
LAUNDRY TUB REGISTRA ON NO COUNTY
CLOTHES WASHER DISTRIC,T-NO GRO ZONE PROCESSED BY
WATER HEATER c� —/ /4g j
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
,ts -Mpry 1&b)
f�i1 F 0 WFV
/ APPROVALS
OS PER
$ I /
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ ?-100 ROUGH PLUMBING
TOTAL FEE d(� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 7M THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA PROP
SIGNATURE 'FINAL � �o
OF PERMITTE
ROBERT A WOOD
01,
VALIDATION SUPERVISING MECHANICAL ENG R
CK !1 0 CASH
LACC)7 1 4 1 en t,027 5 A 300 M
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