HomeMy Public PortalAbout5329ALESSANDRO AVE_Plumbing (4) 7fi A 6K,i CE 817 4-68 - eNG
APPLICATION FOR PLUMBPER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 2 Alessandro
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Te ]_e Cit
FOR APPLICANT TO FILL IN (PR NT OR TYPE NEAREST
CROSS ST Olive Street
NUMBER FIXTURE OR ITEM EACH FEE L
WATER CLOSET 1 50 OWNER M, Bo Jacob s
MAIL
BATH TUB 150 ADDRESS Same
SHOWER 1 50 CITY TEL N0 X86-201
LAVATORY 1 50 CONTRACTOR Pacific In etlllens
SINK 1 50 ADDRESS 1,0020 E. Grand Ave•
DISHWASHER 1 50 CITY Temple] CiiQtAyq TEL NO 4427070
CLOTHES WASHER 1 50 STATE NO 211895 CLASS C-ZO
LIC
SWIMMING POOL RECEPTOR 1 50 015,TtICT NO GRO ZONE PROCESSM BY
LAWN SPRINKLER SYSTEM 2 00
WATER HEATER 1 50 1450 INDUSTRIAL u
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD O
OUTLETS OVER r
5 PER SYSTEM 30 V
W
C..
N
z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 0 APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED'AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ANO INTEND TO
RESIDE IN THE ABOVE DESC ED RESIDENTIAL P PERTY FINAL
SIGNATURE JACK R ALLEN, SU PERVISI ME HANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M o CASH
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