HomeMy Public PortalAbout5317ALESSANDRO AVE_Plumbing 76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEES
BUILDING AND SAFETY DIVLSION BUILDING �f� ,
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOC
FOR APPLICANT TO FILL IN NEAREST
CROSS Si
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
MAEL
BATH TUB
ADD8FS5 L S AVt;
SHOWER CITY ~l�?!� �. ' #9 NO /-4-90 F V
LAVATORY CONTRACTOR `���
SINS ADDRESS
DISHWASHER CITY TEL NO
CONTRACTOR S STATE
fi r 'ar l LAUNDRY TDB REGISTRATION NO COUNTY
{' CLOTHES WASHER DISTRICT NO GROtlp NE 8 HY
WATER HEATER
GAS SYSTEM INDIISTRIAL
WASTE APPROVAL
/ INSPECTION RECORD �-
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V
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O
a
Z
$100 PER ITEM e
/ OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE �1--f) ROUGH PLUMBING
(J " GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE 10
i f
OF PERMME �"��P""""'� ��I /,I/
FINAL 6� /�7
VALIDATIcws�ROBERT A OOD
CK M O SUPERVISING MECHANICAL ENG R
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