HomeMy Public PortalAbout4851ALESSANDRO AVE_Plumbing (2) a�
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APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 1 N���
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUPT OF BUILDING 48
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST
WATER CLOSET $l 25 OWNERMAIL
BATH TUB 1 25 ADDRESS
SHOWER 125 CITY <M T L NO
LAVATORY I25 CONTRACTOR L4nV
SINK 125 ADDRESS STA
DISHWASHER 125 CITY TEL NO I
LAUNDRY TUB 1 25 CONTRACTOR S C� STATE ❑
REGISTRATION NO / 3 COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NOc/ GROUP ZONE PROCESSED BY
WATER HEATER 150 ��Cq 3
150 Q INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
OC
0
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 SO GAS PIPING J ��a�G
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER / \
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LE OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DES IBE ESIDE IAL PROPERTY UTILITY CO NOTIFIED
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SIGNATURE
OF PERM TEE
FINAL
LIDATTON ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
LACO NOV 9 5 0 350—
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