HomeMy Public PortalAbout5317ALESSANDRO AVE_Plumbing (2) 76A607-CE817 10 60
APPLICATION FOR PLUMBI G PERM �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDINGZ
JOHN A LAMBIE COUNTY ENGINEER ADDRESS t Al,I c,5,A,,,a4
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY CIT I/
FOR APPLICANT TO FILL IN CROSS �r �y
NUMBER FIXTURE OR ITEM OWNER e 4:-C�
WATER CLOSET v r
ADDRESS l S Sq AA Ab I Z
BATH TUB ,
SHOWER
CITY 7 TEL NO 7 1
ter' ��
LAVATORY CONTRACTOR v '1L'�Z A . ;3 �► p
SINS ADDRESS/4& 3
DISHWASHER CITY � " TEL NO
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 4 5� COUNTY
CLOTHES WASHER DISTRICT N GROUP ZONE I PR CESS BY
WATER HEATER
5�
GAS SYSTEM 1 INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD °-
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Im
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a
N
Z
5�
ne $100 PER ITEM I �oz�
OR FIXTURE $ 1 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F
PLUMBING HOT WATER HEATER I� q
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ^nf �{{ ])/ oo p�,1/'ll�( 1�A
LICENSE �/!
GAS TEST D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �11
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE I/
DESCRIBED RESIDENTIA PROPERTY UTILITY CO NOTIFIED 1/0 I �/ b �'� C-i,-
SIGNATURE J V A�,�
OF PERMITTE FINAL ' ' A�J�
LIDATION ROBERT A WOOD
cK m o CASH SUPERVISING/MECHANICAL ENG R
566111-0 DEC 1 5 D 4 00 a
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