HomeMy Public PortalAbout5908 ALESSANDRO AVE_Plumbing__ P, � t�bf o� Cey
76A667 CM17 3 59
APPLICA'T'ION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE County Engineer ADDRESSd
CASSATT D GRIFFIN Sup t of Buildmg '
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM 1
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
C TEL NO
SHOWER
CONTAAC H
LAVATORY
SINS ADDRESS
DISHWASHER CITY TEL NO
CONTRACT R S STATE
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICTNO GROUP ZONE PR ESSED
WATER HEATER (� F31
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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0 $1 ixER 1717Elys TURE $ I l n /n/E &*"
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING ) v
I HEREBY 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 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
OF
CA IFORNIASOREOTHATDIBAMLOS THENGELES LEGAL OWNER OF T ECOUNTY ANDSTATE
GAS TEST
DESCRIBED RESIDENTI L PROPERTY UTILITY CO NOTIFIED
SIGNATURE 111
OF PERMITTE n
FINAL
OF ATION ROBERT A WOOD
CK m o i 7 'CASH SUPERVISING MECHANICAL ENG R
7
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