HomeMy Public PortalAbout5329ALESSANDRO AVE_Plumbing (3) 7 A fto I-CE 817 468
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fADDRESS
ILDINGJOHN A LAMBIE COUNTY ENGINEER 5329 QessandrnCOLEMAN W JENKINS SUP T OF BUILDING CALITY TGMP!e CityFOR APPLICANT TO FILL IN (PR NT OTYPE) AREST
OSS ST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 OWNER
MAIL
BATH TUB 150 ADDRESS
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
10920 E- 0-11rand Ave-
DISHWASHER 1 50 CITY r TEL NO
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CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS _
SWIMMING POOL RECEPTOR 1 SO DISTRICT NO G ZONE PRO BY
.�
LAWN SPRINKLER SYSTEM 2 00 O
t
WATER HEATER 1 50 INDUSTRIAL u
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 (� INSPECTION RECORD 4J z
OUTLETS OVER
PER SYSTEM 15,
30 ,ZS 71
d ,�� �� ' b.'1
5
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Plan check fee 2S% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CitLI Tel No
HOT WATER HEATER
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
GEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
D ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IN THE ABOVE D IBED ESIDE PROPERTY FINALUREJACK R ALLEN, SUP RVISIN CHANICALENG R
RMITTEE C
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M O CASH
q�ry 3 a SC':-" rE6 5 5 0 350 -