HomeMy Public PortalAbout4902ALESSANDRO AVE_Plumbing (4) I
667 (CE 817) 4/72
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a APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
INANE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT COUNTY ENGINEER LOCALITY
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FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST �(1�
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 1 75
MAIL
BATH TUR 1 75 ADDRESS
SHOWER 1 75 CITY e TEL NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY TEL NO
CLOTHES WASHER 1 75 STATE LIC
SWIMMING POOL RECEPTOR 1 75 LICENSE NO CLASS
DISTRICT NO GROUP ZONE r--P 0 IESSED BY
LAWN SPRINKLER SYSTEM 1 75 t— r
WATER HEATER 1 75 INDUSTRIAL l
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WASTE APPROVAL G.
1 GAS SYSTEM OUTLETS 1 75Zr SPEC TI N CORD V
OUTLETS OVER 30 CD
5 PER SYSTEM 2 F
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ ^3 00
TOTAL FEE APPROVALS DATE INSPECTOR 5 SIrNATURE
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 GAS TEST
PLUMBING
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 OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
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SI G N A TU RE
OF PERMITTEE V
" PERMIT VALIDATION \ c/KM o SH
PLAN CHECK VALIDATION CK M 0 CASH �J
� 6 4 6 r4UV � 5 p 7 5 N u