HomeMy Public PortalAbout5335ALESSANDRO AVE_Plumbing 76Ao07-OE817 10 60
APPLICATION FOR PLC, ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AsEFED �eEDEHACOUNTY ENGINEER SS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR aL /
SIDiK ADDRESS ® d
DISHWASHER CITY ��g/h/�(Jl� _rEL No ,4&!-
,21
CONTRACTOR SSTATE
LAUNDRY TUB REGISTRATION NO '�� V/Iy COUNTY
CLOTHES WASHER DISTRICT NO I_gR-Q.UP WONE I PROCESSED BY
WATER HEATER Q{1
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
INSPECTION RECORD
/ o
a
Z
0 $100 PER REM
d/
OR FIXTURE � 7 MM
fOV APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ion ROUGH PLUMBING4, ll
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT n n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / II/I
PLUMBING HOT WATER HEATEli--)
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFU/I�� 1
CALIFORNIA OR THAT I AM TH% LEGAL OWNER OF THE ABOVE GAS TEST / ,I�y' {�'A"
DESCRIBED RESIDENTIAL PROPE UTILITY CO NOTIFI I/ 1,/x/1
SIGNATURE ^ V
OF PERMITTE FINAL / (� tNI
CALIDATION ROBERT A WOOD�I
cK M O CASH SUPERVISING MECHANICAL ENG R
LA ,I36095 5 b yc )
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