HomeMy Public PortalAbout5741 ALESSANDRO AVE_Plumbing__ r
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APPLICATION FOR PLUMPING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /
IOHN A LAMBIE County Engineer ADDRESS ehly-41,
CASSATT D GRIFFIN Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST ✓
CROSS ST Z a l
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL `
BATH TUB ADDRESS yljy,t
SHOWER
CITY TEL NO
_
LAVATORY CONTRACTOR
SING ADDRESS
DISHWASHER CITY TEL NO
CONTRACTOR S / J COUNTY
LAUNDRY TUB REGISTRATION NO
CLOTHES WASHER DISTRLCT NO GRO P E PfjpOCESSED BY
WATER HEATER _ ��-� x-f
GD SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$100 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE I ROUGH PLUMBING
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 TH AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REpU1RED Y OS INGEVCOUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT A T L G OWNER OF THE ABOVE
DESCRIBED RESIDENTI �P PE ` UTILITY CO NOTIFIED _
SIGNATURE d 'l
OF PERMITTE Q
FINAL .Z A
Or AMATION ROBERT A WOOD
cK ® o CASH SUPERVISING MECHANICAL ENG R
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