HomeMy Public PortalAbout4929ALESSANDRO AVE_Plumbing 76A667 CF44817 5/69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS �f
WILLIAM A JENSEN SUP T OF BUILDING
LOCALR
FOR APPLICANT TO FILL IN NEAREST
(CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB 1 25 1 ADDRESS
SHOWER 125 TEL NOVp
./Q
LAVATORY 125 CONTRACTOR
SINK 12,5 ADDRESS
DISHWASHER 125 CITY TEL NO
CONTRACTOR S STATE
REGISTRATION NO COUNTY p
LAUNDRY fUB 1 25
CLOTHES WASHER 125 DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 150
o_
GAS SYSTEM—OUTLETS— 50 INDUSTRIAL
OUTLETS Q WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 U
INSPECTION RECORD
a
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE eN
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 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 1 AM THE LEGAL OWNER OF ND INTEND TO
RESIDE IN THE ABOVE DESCRI D RESIDENTIAL P PE Y UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
INAL
VCKALIDATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG R
LALS 9979 X11 5 0 3.50-
1