HomeMy Public PortalAbout4838ALESSANDRO AVE_Plumbing (2) 76A667 (CE 817) 175
APPLICATION R PLIJOBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS 8 $ rO �• '�-
HARVEY T BRANDT COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
I CROSS ST La Rosa
NUMBER FIXTURE OR ITEM @ FEE C1 1 1
2 00 OWNER Caas• St111Wa On
WATER CLOSET MAIL
BATH TUB 200 ADDRESS As above 9
SHOWER 2 00 CITY TEL NO 286-8127
LAVATORY 2 00 CONTRACTOR W.TTEiE. Granam ^
SINK 200 ADDRESS 12 Las Tunas Dr
DISHWASHER 200 CITY T.G+ TEL NO 286-2293
CLOTHES WASHER 200 STATE 104466 LIC Ce3
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 200
DISTRICT NO GROUP ZONE CES ED
LAWN SPRINKLER SYSTEM 200 ^� p
O v
WATER HEATER 2 00 0o INDUSTRIAL
WASTE APPROVAL p
GAS SYSTEM OUTLETS 2 00 INSPECTION RECORD U
OUTLETS OVER
' 5 PER SYSTEM 30 O
t—
V
W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
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 I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN OF AND TEND TO
RESIDE IN THE ABOVE DES CRI BESIDE I PAOPE
FINAL
SIGNATU RE
OF PERMIT r
IN PERMIT VALIDATION <2C M 0 CASH
PLAN CHECK VALIDATION C M 0 CASH 0 ZN �^ D T 0 ,&t*