HomeMy Public PortalAbout4851ALESSANDRO AVE_Plumbing 76A667A
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
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ADDRESS
NUMBER FIXTURE OR ITEM @ FEE
LOCALITY
WATER CLOSET / �gH LEG/T
NEAREST
BATH TUB `V5 ,
CROSS ST 1-0 uJE I? /rJ z Us/4
MAIL
SHOWER OWNER/_OU/S A T� E8,6�LAVATORY Yf ADDRESS 70p57 /rj-E45 1+ ('R 0
CITI`TLCjt' /-e `i j TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS t
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS APPROVALS ATNSPECTOR S SIGNf1�RE
OUTLETS OVER UNDER SLAB WORK el7Y
5 PER SYSTEM ROUGH PLUMBING
` GAS PIPING 0
GAS VENT 9
&1
HOT WATER HEATER i ®®
PLUMBING FIXTURES
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GAS TEST
Plan check fee UTILITYCO NOTIFIED n
PLUMBING PERMIT ISSUING FEE$ ;v a-,
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name Louis 4 72 AQi31E ;256Q3A
Address 499 ALESSA" 'b,112-O # o o o o o 5
CrtyTc mLE c/r)jTel No (1 2 - ,- 1900
1 HEREBIV ACKNOWLEDGE AAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 0001900G=7
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS c7,20-79
I
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY
SIGNATURE i
OF PERMITT
DISTRICT NO OSSED BY
INDUSTRIAL
WASTE APPROVAL