HomeMy Public PortalAbout4832ALESSANDRO AVE_Plumbing (4) 76 o;4i;7�- qE 817 7-69
APPLICATION FOR PLUMBING P MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION nnn�ss 4832 Alessandro
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 Q
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 150 OWNER Frank Klavon
KAIL
BATH TUB 1 50 ADDRESS 4832 Alessandro
SHOWER 150 cITY Temple City TEL NC1286-6392
LAVATORY 1 so CONTRACTOR Bryant Heating & Air Coal In
SINK 1 50 ADDRESS 1350 E Las Tunas Drive
I
DISHWASHER 150 CITY San Gabriel TEL No 286-1141
CLOTHES WASHER 1 50 STATELIC
LICENSE NO 221751 CLASS C-20
SWIMMING POOL RECEPTOR 1 50 DICT NO / GROSIP— ZO PRO E BY
LAWN SPRINKLER SYSTEM 2 00 (�J) Q(y
WATER HEATER 1 50 INDUSTRIAL C.
WASTE APPROVAL O
1 GAS SYSTEM OUTLETS 1 50 1 75 INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM O
W
d.
Vf
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Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ - 00
TOTAL FEE 1 4 175
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
1 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 GAS TEST - -�
PLUMBING
1 HEREBY CERTIFY AT 1 AM PR LY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUI/RED Y/C�S A GEL COUNTY AN STATE OF
CALIFORNIA OR THAT 1 A T���}}J�r AL WNER OF AN INTEND TO
RESIDE IN THE ABO E% RISE TIAL PROPE Y
V FINAL
SIGNATURE
OF PERMITTEE / / JACK R ALLEN SUPERVYD7
ANICAL ENG R I
PERMIT VALIDATIOM O CASH
PLAN CHECK�V ALIDATIO C K M o CASH
A, g 1 7* (SFR (� 5 5-
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