HomeMy Public PortalAbout5332ALESSANDRO AVE_Plumbing (2) 7AA667 CE4817 10 67
APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fADDRESS,
DING
JOHN A LAMBIE COUNTY ENGINEER 3 LCOLEMAN W JENKINS SUPT OF BUILDING ALITYFOR APPLICANT TO FILL IN PR NT OR TYPE) EST
SS ST
NUMBER FIXTURE OR ITEM EACH FEE I
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS 3 Z Z
DISHWASHER 1 5o CITY ��'3�. TEL NO 7 1574C y>(!
CLOTHES WASHER 1 50 STATE LIC�(7� CLASS C�L C ZV
LICENSE NO ``
SWIMMING POOL RECEPTOR 1 50
DISTRICT GRO P ON7 C D BY
LAWN SPRINKLER SYSTEM 2 00 O ( D_
O
U
WATER HEATER 1 50 INDUSTRIALWASTE APPROVAL
O
GAS SYSTEM OUTLETS s INSPECTION RECORD V
OUTLETS OVER W
5 PER SYSTEM 30
N
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 00 _
COTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING J Z
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 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 AND INTEND TO 4 It
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL �('�
SIGNATURE JACK R ALLEN SA5D
NG CHANICAL ENG R
OF PERMITTEE
PERMIT VALIcK M o CASH
PLAN CHECK VALIDA ON CK M o ASH
CQ
,4j" P C 7-0r X25 475-