HomeMy Public PortalAbout5727 ALESSANDRO AVE_Plumbing__ 1
76A607 CE817 10 60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AG AND E COE�DIVISION gDDRESS 5727 Alessandro St
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEARECROSS ST Workman St
NUMBER FIXTURE OR ITEM o�ypigg Edward Waaler
WATER CLOSET MAIL
BATH TUB ADDRESS same
CITY TEL NO 2
SHOWER
LAvnroaY CONTRACTOR L M HAW, INC -
SINK ADDRESS 1+2-5 W ?'lain St
DISHWASHER CITY 41hambra TEL No 282-2151CONTRACTOR '
1 LAUNDRY TUB 1.25 REGISTRAriON NO 171598 COUNTY
1 CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE PROCESS Y
1 WATER HEATER 1.rin g /
1 GAS SYSTEM extend 1 50 INDUSTRIAL
WASTE APPROVAL y,
INSPECTION RECORD a
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RPER ITEM I 5 50
FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 pQ UNDER SLAB WORK yl
ROUGH PLUMBING
TOTAL FEE '7 50
GAS PIPING
1HEREBY ACKNOWLEDGE THAT I 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 CERTIFY ERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 THE LEGA OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
VALIDATIONROBERT A WOOD
AC
M O C CASH SUPERVISING MECHANICAL ENG R
Lo 157 5�S APR 2 7 5 D
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