HomeMy Public PortalAbout4941ALESSANDRO AVE_Plumbing (2) 76'A 6b-CE 817 8/68 7 '
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APPLICATION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
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DINGBUILDING AND SAFETY DIVISIONRESSJOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS SUP T OF BUILDING ALITY FOR APPLICANT TO FILL IN PR NT OTYPE) RESTSS ST Lf}GU
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 5o OWNER cTdfl/ti/ uj J
MAIL
BATH TUB 1 5o ADDRESS
SHOWER 1 50 CITY m�� �� TEL NO
LAVATORY 1 50 CONTRACTOR
SINK 1 so ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 5o STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROUP ZONE PRO ES ED BY >-
I AWN SPRINKLER SYSTEM 2 00 CL.\_ iiUJJ i U
WATER HEATER 1 50 INDUSTRIAL I Z
WASTE APPROVAL C)
GAS -- - P=
SYSTEM OUTLETS 1 50 INSPECTI N RECORD w
OUTLETS OVER �
5 PER SYSTEM 30 y Z
i v
Plan check fee 2-�% of 3bo%e See reverse
PLUMBING PERMIT ISSIIINC FEE S 2 00
1 OTAL FEE `3 \��
APPROVALS DATE INSPECTOR S SIGNATURE
Plan cheek '>pplicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City lel No HOT WATER HEATER
IOACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GD O
PLUMBING AS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED 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
SIGNATURE
OF PERMITTEE , '� a JACK R ALLEN SUPER VISIN GIVE'Z IKANICAL ENG R
PERMIT VALIDATION(��) M o CASH
PLAN CHECK VALIDATION CK M O CASH
I �7085'=D OCT 8 5 D 350