HomeMy Public PortalAbout5948 ALESSANDRO AVE_Plumbing__ D-9876 ���y . � '
DEIS 17 APPLICATION FOR\ 0 LUoYIB NG PEY \ T 1
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OF BUILDING AND SAFETY
Deportment of County Engmeer
County of Los Angeles BUILDING r �}
JOHN A LAMBIE COUNTY ENGINEER ADDRESS ) 8 No. Alessandro
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST La
CROSS ST s Tunas
OWNER John Woodruff DISTRICT NO
N�OO GROUP ZONE RE FOR INSPECTION
MAIL Same 5 /1) p \ I � 3I� Q
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER GENERAL INSTALLATION CO INSPECTION RECORD
ADDRESS 6558 West Blvd
CITY L A 43 TEL NO Pleasant 3-2541
LICENSE NO 787 C-36 151839
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
Z WATER HEATER @ $1 00 1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 00
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIALJ1Lj1`% i
SIGNATURE ( /
OF PERMITTEE FINAL Mv
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A Wt0011 CHIEF PLBG INSPECTOR
CK M 0 CASH
Ufo5 8 1 2 `D JM C 5 D 3 00