HomeMy Public PortalAbout5525ALESSANDRO AVE_Plumbing (2) 78A887-CE8I7-II�57 TMO U CITY
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
cl�oHNA LAMBIE Cour Engineer ADDRESS 5525 NO. Allesandro
ssATT D GRffFIN Supt Ld
ainqLocALITY Temple C1ty
FOR APPLICANT TO IN NRARF_CT S Tunas
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
MAIL
BATH TUB ADDRESS Same as above
SHOWER CITY TEL NO
LAVATORY CONTRACTOR ROEERT L r3RYANT
PLUMBING CONTRACTUR
SINS ADDRESS 7272 La MarGed Rcdf.
DISHWASHER CITY
LCONTRACTOR S
LAUNDRY TUB ATE
REGISTRATION NO 175405 COUNTY
CLOTHES WASHER DISTR � GROU I ZO E
WATER HEATER oo//
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
how r subdrain & pan INSPECTION RECORD
APPROVALS
@ $100 PER ITEM DATE INSPECTOR S SIGNATURE
OR FIXTURE $
OC UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE IQQ
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES i
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW .R OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL P OPE TY
SIGNATURE
OF PERM ITTE FINAL }o J �p
ROBERTA WOOD
Or VALIDATION SUPERVISING MECHANICAL ENG R
CK M O CASH
L 0 JU" 7 5 D 3 C 1 0 ��