HomeMy Public PortalAbout4832ALESSANDRO AVE_Plumbing 76 A 667 - CE 817 7-69
1 APPLICATION FOR PLUMBING PER
t COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
IN $ 2 Alessandro P $B
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST Olive St•
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Frank Klavon
WATER CLOSET 1 50
BATH TUB 1 50 ADDRESS 4$32 Alessandro
a
SHOWER 150 CITY em le Clt TEL NO
1 LAVATORY 150 1450 CONTRACTOR L.M. Hamm, Inc.
SINK 150 ADDRESS 425 W. Main St.
DISHWASHER 1 50 CITY Alharnbra TEL N0282-2151
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 17159$ CLASS C-36SB-1
SWIMMING POOL RECEPTOR 1 50 D STRICT,NO GR O P ZONE PROCES BY
LAWN SPRINKLER SYSTEM 2 00 -5- 0
WATER HEATER • 1 50 INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1 50 I ! INSPECTION RECORD u
OUTLETS OVER 30 O
5 PER SYSTEM x
r
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CL
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ' ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF
CALIFORNIA OR THAT I AM T LEGAL OWNS O AND INTEND TO
RESIDE IN THE ABOVE DESC SIDENTIA P PERTY FINAL
SIGNATURE ° CK R ALLEN SUPERVISING CH ANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M o CAST 64 9 5R AUG 26 5 D 6 50'
1 v
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