HomeMy Public PortalAbout4802ALESSANDRO AVE_Plumbing (3) 76A667 (CE-817) - 5/73
APPLICATION FOR, PLUMBING PERMIT T '
COUNTY OF LOS ANGELES 7 l�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS �7 I✓ ��
HARVEY T BRANDT, COUNTY ENGINEER
LOCALITY,
FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAREST 7e�J
CROSS ST rL�
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 1 75
MAIL n
BATH TUB 1 75 ADDRESS "
SHOWER 1 75 CITY4 TEL 'NO
LAVATORY 1 75 CONTRACTOR e. �elX A
/ SINK 1 751 ADDRESS
DISHWASHER 1 75 ry CITY �� TEL NO
CLOTHES WASHER 1 75 STATE
LICENSE NO p�(� ' LIC
CLASS
SWIMMING POOL RECEPTOR 1 75 n
DISTRICT NO GROUP ZONE FRO�ESSED BY
LAWN SPRINKLER SYSTEM 1 75 J• i t ��
WATER HEATER _ 1 75 INDUSTRIAL '1
WASTE APPROVAL Cl-
GAS SYSTEM OUTLETS 1 75 j 7 INSPECTION RECORD O
U
OUTLETS OVER 30 r
5 PER SYSTEM
O
U
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W
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ G3 00
TOTAL FEE "
APPROVAL'S DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDERISLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,
AND HOT WATER HEATER
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I .�
PLUMBING GAS TEST
i
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL O N OF D INTEND TO
RESIDE IN THE ABOVE DESCRIBE SID P P RTY FINAL
SIGNATURE
OF PERMITTE
PERMIT VALIDATION cK 0 CASH
PLAN CHECK VALIDATION CK �—
.� J, -5 8 8 AFn` 9 5 D 8.2 5r A;,c