HomeMy Public PortalAbout4803ALESSANDRO AVE_Plumbing (3) 76 A 667 - CE 817 7-69
APPLICATION FOR PLUMBING PERMIT
COUNTY`OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING
FOR APPLICANT TO FILL IN(PR NT OR TYPE) 4 (f
NUMBER FIXTURE OR ITEM EACH FEE
OWNERDONA 1-j) _
WATER CLOSET 1 50
MAIL s
BATH TUB 1 50 ADDRESS r
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 150 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP i ZONE CESSED BY
LAWN SPRINKLER SYSTEM 2 00 Q C > - I
WATER HEATER 1 50 INDUSTRIAL d
WASTE APPROVAL Q
GAS SYSTEM OUTLETS 1 50 INSPECTIO RECORD Irl
OUTLETS OVER 30 Z
5 PER SYSTEM
O
CL
N
z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
I'GTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
LAND
Tel No
HOT WATER HEATER
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
NGEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
RNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TOIN THE ABOVE DESCRIBED RESIDENT L PROPERT FINAL Ace a4l&URE JACK R ALLEN SUPERV SING MECHANICAL GERMITTEE
PERMIT VALIDATIQN CK M o CASH ¢
PLAN CHECK VALIDATION CK M o CASH
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pt'- 8399 JAN20 5 D 350-
f