HomeMy Public PortalAbout5233ALESSANDRO AVE_Plumbing 78A6 177
D6667
APPLICATION! FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depaxtment of County Engmeer
County of Los Angeles BUILDING 61
JOHN A LAMBIE COUNTY ENGINEER ADDRESS e S
CASSATT D GRIFFIN SUP T OF BUILDINGnn
LOCALITY 6 K /Ge e,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST N
OWNER Q/ /'fid(i /aJ �"► DISTRICT NO GROUP JZO
�E READY FOR INSPECTION
MAIL �� Sh 0
ADDRESS G�.h
`p INDUSTRIAL
CITY B TEL NO G 56 V 0 WASTE APPROVAL
PLUMBER S r/ INSPECTION RECORD
ADDRESS / (�
CITY Te j,&_ Cp I L, TEL NO �D 72
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
I SHOWER @ $100 D
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00 v
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00 B
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
D GAS PIPING
TOTAL FEE o GAS VENT
IO ACKNOWLEDGE THAT I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M T E LE AL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA RO TY
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SIGNATURE
OF PERMITTEE FINAL Il L
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
�>s DIC0 6 7 ASH 0 6 4 JUN 6 3, 800 In
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