HomeMy Public PortalAbout5950 ALESSANDRO AVE_Plumbing__ 7GA667 A P P LICA E I® FOR tl L MBI �VEdi C E 9 �M I T /� l
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DIVISION OF BUILDING AND SAFETY q Q a `
Department of County Engineer
County of Los Angeles BUILDING r^^^ *T L+
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 77707 Nr AL eesanl ro St
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
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CROSS ST
OWNER J M Woodruff
o y r DIST$.ye0 GTI
ROUP NE RADY FOR INSPECON
AMAIL
DDRESS Same Tefl1=A)i City
CITYTemiple CitY TEL NOAt77651 WADSTE APPROVAL
PLUMBER GENERAL INSTALLATION CO INSPECTION RECORD
ADDRESS 6558 West Blvd /,?Z`
CITY L A 43 TEL NO PLeasant 3-2541 � �� /-P)LICENSE NO 787 C-36 151839
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $100
BATH TUB @ $1 00 /
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $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 HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING s'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAT I AM E LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PR,RT�'!j fq
SIGNATURE (/�r� (j�F� ✓ �ud
OF PERMITTEE FINAL 1
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JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A OOD� CHIEF PLBG INSPECTOR
CK Y O CASH
LA" 0063 : JUL17 300 M