HomeMy Public PortalAbout4820ALESSANDRO AVE_Plumbing 76A667 (SIE 817) 5/73 v ( V
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO I ADDRESS 482 lessandro Il-g-,
HARVEY T BRANDT COUNTY ENGINEER LOCALITY Temple City - r
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST � Grp j
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1 75 1 OWNER R T Solis
MAIL
BATH TUB 1 75 ADDRESS 4820 Alessandro
SHOWER 1 75 CITY Temple City ~TEL N0'285-9017
LAVATORY 1 75 CONTRACTOR Bryant Heat & Air Cond
SINK 1 75 ADDRESS 1350 E Las Tunas Drive
DISHWASHER 1 75 CITY San Gabriel TTELVNO 286-1141
CLOTHES WASHER 1 75 STATE LIC
SWIMMING POOL RECEPTOR 1 75 LICENSE NO 221751 CLASS C20
DISTRICT NO GROUP )E RO SSED BY
LAWN SPRINKLER SYSTEM 1 75 �O II T
7
WATER HEATER 1 75 INDUSTRIAL
C/ L
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 3100 INSPECTION RECORD y V
OUTLETS OVER 30
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 4 5o
TOTAL FEE 7 50
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT THE LEGAL OWNER OF AggFNrrTDJJ INTEND TO
RESIDE IN THE ABOVE DE CRIBED RESIDENTIAL PPWZE FINAL
SIGNATURE
OF PERMIT
PERMIT VALIDATI N CK M D CASH
PLAN CHECK VALIDATIONtl
CK M O CASH f
0 54y vl U
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