HomeMy Public PortalAbout5329ALESSANDRO AVE_Plumbing (2) 76A667-CE817-8-58 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNFAREST
G 3� �� -7-119A-C) V
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN,Sup t of Building
Y PL C?
FOR APPLICANT TO FILL IN T. W .
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS �r
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR /:>kev e,
SINK ADDRESS
DISHWASHER CITY j TEL. NO.W --
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO. GZG L COUNTY ❑
CLOTHES WASHER DISTRICT NO� GROUPZONE I PROCESSED BY
WATER HEATER .�
14
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
PER ITEM APPROVALS
OR FIXTURE $
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 51 2100 ROUGH PLUMBING
TOTAL FEE -131� 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
I HEREBY CERTIFY T AM P OPERLY REGISTERED A /OR GAS TEST
LICENSED AS REQUIRED B S A ELES CONY AND ST OF
CALIFORNIA OR THAT I TH LEGA R OF TH BOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI ROPE
SIGNATUREFINALFINAL
OF VALIDATION ROBERT
VISUPERVISING
UP RVIS N MNICAL ENG'R
CK. M.0. CASH
L}{C 3 6 8 5 u OCT . A 3.0 0
0