HomeMy Public PortalAbout5330ALESSANDRO AVE_Plumbing 76A667 -CE-#817 Z"62 TA E Vi_I
j APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADD
DING
JOHN A. LAMBIE. COUNTY ENGINEER ESSd
WILLIAM A. JENSEN. SUPT OF BUILDING ALITY
FOR APPLICANT TO FILL INNEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE f-
OWNER
OWNER
'? WATER CLOSET $1.25 J p
MAIL
r BATH TUB 1.25 ^ 5' ADDRESS
r SHOWER 1.25 5 CITY TEL. NO.
5 CONTRACTOR
LAVATORY 1.25 6
SINK 1,25 ADDRESS
DISHWASHER 1.25 CITY 144 TEL. NO. `)7 7 x
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
flEGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY
WATER HEATER 1.50 �b
GAS SYSTEM J OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM 30 J INSPECTION RECORD 0
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE vU GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE ESC ED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A. WOOD
cK. M CASH SUPERVISING MECHANICAL ENG'R