HomeMy Public PortalAbout5332ALESSANDRO AVE_Plumbing (3) 76A667 CE:�81 7 6 65 .1.4 T G / 7 V
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
533 a-
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN 3 NEAREST
CROSS Si
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125
MAIL
BATH TUB 1 25 ADDRESS
SHOWER 125 ' CITY TEL NO
LAVATORY 125 S'� CONTRACTOR
J SINS J 125 15 ADDRESS
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DISHWASHER 125 CITY SATEjy TEL NO j
LIC
LAUNDRY TUB 1 25 LICENSE NO I /�/ CLASS C —3 6
CLOTHES WASHER 12,5 DISTRICTNOG�UP ZONE PROLE SED BY
WATER HEATER 1 50 r(—Q c�
A__GAS SYSTEM _OUTLETS 1 50 i 56 INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
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V APPROVALS DATE INSPECTOR IGNATU RE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
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TOTAL FEE GAS PIPING 171
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY R
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST rI " y, n
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABO DEC ED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED ' f�
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SIGNATURE �— n
OF PERMITTEE
FINAL
VALIDATION
CK M O CASH
LAL,o 0 -- 4 3'o r,UG 2 3 5 D 1 5 0 0-
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