HomeMy Public PortalAbout4917ALESSANDRO AVE_Plumbing (4) 76A667 CE817 12/59 1 j
APPLICATION OR PL UMI ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND E$AFETY RMSION BUIL N �zS
JOHN A LAMBI COUNTY NGINEER
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN 74 NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM G /�/--ti `
OWNER M
WATER CLOSET MAEL
^
A DD KESS 17 A
BATH TUB
SHOWER
CITYCe TEL NO
/
LAVATORY CONTRACTOR calf`
SINS ADDRESS
DISHWASHER CITY/( , TEL NO Af-6
CONTRACTOR SSTAT
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NO G OUP ONE CESSED BY
WATER HEATER
SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
pi
F
U
W
a
m
$1 00 PER ITEM $ I I
OR FIXTITHE APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
vw vw GAS PIPING
AHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I 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 LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAUPROPERTY UTILITY CO NOTIFIED
SIGNATURE lig-
OF PERMITTEE
FINAL
�P VALIDATION ROBERT A WOOD
IC[ m O CASH SUPERVISING MECHANICAL ENG R
LACo 1 7400 Jura ?r7 5 0 300