HomeMy Public PortalAbout5223ALESSANDRO AVE_Plumbing (2) 7M6V C 17-1157 a J 219
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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING x^21' a ]Ecfor
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JOHN A LAMBIE County En meer ADDRESS./ —r2
CASSATT D GRIFFIN Sup t of Buildmg LOCALITY ��� & 1
FOR APPLICANT TO FILL IN NEAREST �eCROSS STOF
NUMBER FIXTURE OR ITEMWATER CLOSET OWNERMAILBATH TUB ADDRESSSHOWER CITY LAVATORY CONTRACTOVONTANA PLG CQl,TPACTORS
SINK ADDRESS 13329 CStreeDISHWASHER Ali Of Indjt+rCONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO #96496 COUNTYCLOTHES WASHER DISTRI T NO GROSIPE READY FOR INSPECTION
I / WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
4
I
APPROVALS
9 k�
$I 00 PER ITEM � f DATE INSPECTOR S SIGNATURE
OR FD[TURE $
UNDER SLAB WORK
PERMIT $ �„ 00 ROUGH PLUMBING ,!j
TOTAL FEE — GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT `
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA PROPERTY
SIGNATURE f
OFPERMITTE -&4r FINAL y„�.,,.��
ROBERTA WOOD
®f ALIDATION SUPERVISING MECHANICAL ENG R
cc-
M 0 CASH
23157rEB g 5A 11004-
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