HomeMy Public PortalAbout4917ALESSANDRO AVE_Plumbing (5) 76A607-CE617 10 60
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 17 Alessandro v
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
TeMDle City
FOR APPLICANT TO FILL IN NEAREST
AAREOSS ST $1 a Cl{1®
NUMBER FIXTURE OR ITEM
OWNER Myers
WATER CLOSET MAIL
BATH TUB ADDRESS 4917 Alessandro
SHOWER CITY Temple City TEL NO AT 7-1730
LAVATORY CONTRACTOR Norman Is Plb . & Hefat ing
sale ADDRESS 16 W. Valle Blvd
DISHWASHER CITY San GabrielTEL NO AT 4-4655
TE
LAUNDRY TUB REGISTRATION NO 98671 COUNTY
CLOTHES WASHER D18TR1 NO U ZONE I PRO S8ED BY
WATER HEATER
1 GAS SYSTEM t O Pool INDUSTRIAL
WASTE APPROVAL }
INSPECTION RECORD D_
0
U
0
n.
z
0 $100 PER ITEM
OR FIXTURE $ 11,50 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING I
PLUMBING HOT WATER HEATER / e�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES JyA
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ` I pS r- M'^ f 45, 1`
CALIFORNIA OR THAT 1 AM THE GAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESID TIA PRO RT
SIGNATURE E � UTILITY CO NOTIFIED
OF PERMITTE 1 �Nv fI ',/' i G �a M111
FINAL
FINAL
/V ,
VALIDATION
ROBERT A WOOD
M o CASH SUPERVISING MECHANICAL ENG R
0903LI-o' R1 5 D 350 M
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