HomeMy Public PortalAbout5751 ALESSANDRO AVE_Plumbing__ 76A667 CE#817 6 65 I ��
APPLICATION FOR PLUMBI PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST �
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB 1 25 ADDAE
SHOWER 125 CITY TEL NO
I
LAVATORY 125 CONTRACT ,/
SINK 125 ADDRESS d ,
DISHWASHER 125 C TEL NO
STATE LI C
LAUNDRY TUB 125 LICENSE NO CLASS
CLOTHES WASHER 1 25 DISTRICT GR Z NE P BY
WATER HEATER 1 50 VNO
1 50 INDUSTRIAL >-
GAS SYSTEM a
OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U
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W
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N
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY AT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REO ED Y LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR AAT,f M THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE BOV BED REST NTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATUR �,//ry ��v Zj i
OF PERMI ~
IV FINAL Hd�
VALIDATION
CK M O CASH
0 6 0 7SEP'C--"2 5 D 3.50co
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