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Home My Public Portal About4833ALESSANDRO AVE_Plumbing (2) 76A667 (CE 817)-B 71 /cJ� �� G v Ti�� APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUIDRELDING ADSS �XJ LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST DGvF- ZI/S NUMBER FIXTURE OR ITEM @ FEE CROSS ST CC` WATER CLOSET � 1 75 OWNER — MISA BATH TUB 1 75 ADDRESS J SHOWER 1 75 CITY Z TEL LAVATORY 175 CONTRACTOR(-' Gy SINK 1 75 ADDRESS,,,©,4r DISHWASHER 1 75 CITY �� ' TEL NOi T�-' ! O CLOTHES WASHER 1 75 STATEry LIC LICENSE NO o� (� CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO G�.6LJP ZO E LAWN SPRINKLER SYSTEM 1 75 �l CT )/ WATER HEATER 1 75 INDUSTRIAL X � WASTE APPROVAL G GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V OUTLETS OVER 30 Z 5 PER SYSTEM O V 1196H Z Plan check fee See reverse PLUMBING PERMIT ISSUING FEES 11 3 00.1 TOTAL FEE 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 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A/MTHE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESC`!` D RETIAL P PERTY FINAL R SIGNATUE ` OF PERMITTEE PERMIT VALIDATION cK O CASH PLAN CHECK VALIDATION CK M O CASH r O6 5 7 9;j JW24 is D 4.75- ,