HomeMy Public PortalAbout5510ALESSANDRO AVE_Plumbing N'�-2" oc"ti—
APPLICATION FOR PLUMBIN PERMIT ' Q,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, CouNry ENGINEER ADDRESS
WILLIAM A. JENSEN, Su_P•i of BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER o Q/�"
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR 7 f
SINK ADDRESS / -r
DISHWASHER CITY Al - tj I G TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRIIC�T N . il::U-"
OZONE R ES Y
WATER HEATER ✓ G�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL a
INSPECTION RECORD U
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@ $1.00 PER ITEM
OR FIXTURE $ (j APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 OO UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
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GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. HOT WATER HEATER
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 THE ABOVE
DESCRIBED RESIDENTIAL PE TY. / UTILITY CO.NOTIFIED
LOF
ATURE
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PERMITTEE +
FINAL
®F ' -,.. VALIDATION ROBERT A. WOOD,
Y.O. CASH SUPERVISING MECHANICAL ENG'R
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