HomeMy Public PortalAbout4803ALESSANDRO AVE_Plumbing (2) 78A867 CE11817 4 64
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FNEAREST
D N ,
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING ALITY
FOR APPLICANT TO FILL IN T
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125
BATH TUB 1 25
ADDRESS
CITY TEL NO
SHOWER 125a&
LAVATORY 125 CONTRACTOR
SINK 1 25 ADDRESS
DISHWASHER 125 CITY ' TEL NO
STATE
LAUNDRY TUB 1 25 REGISTRATION NO p Il f p COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP JZONE P ESSED BY
WATER HEATER 150
GAS SYSTEM OUTLETS 150 INDUSTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD V
0
F-
V
W
a
H
Z
APPROVALS DATE INSPECTOR,5 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK f�
ROUGH PLUMBING ) ,�
TOTAL FEE GAS PIPING ✓
1 HEREBY ACKNOWLLDGE THAT I HAVE READ THIS APPLICATION GAS VENT G
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES \v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGA OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED R I IAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE w A
OF PERMITTEE FINAL Al104r- A
/-VALIDATION ROBERT A WOOD
cK M O CASH SUPERVISING MECHANICAL ENG R
_i�� 5 9 5 SEP27 5 D .5 5