HomeMy Public PortalAbout5531ALESSANDRO AVE_Plumbing (2) 76A667 CE9817 10 67 X
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS5531 North Alessandro
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
EST
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NECROASRS ST a a
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
Ba
WATER CLOSET 1 50 Barbara Ann Mc Lain
BATH TUB 1 s0 ADDRESS Sallie
SHOWER 150 CITYTem e City TEL NO 285-1478
LAVATORY 1 50 CONTRACTOR Pacific Installers
SINK 1 50 ADDRESS 1020 E. Grand Ave
DISHWASHER 1 50 "'Te le City TEL NO 442-7070,
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 2118-.8--. CLAss20—C
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2 00 �/ �\ r O O
U
WATER HEATER 1 50 1. O INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
OUTLETS OVER W
5 PER SYSTEM 30 �
Z_
Plan check fee 2S% of above See reverse
PLUMBING PERM11 ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applic-int UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Cit) Tel NO HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST I
PLUMBING
I 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 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL �512 �{
SIGNATURE JACK R ALLEN SUPER VISN M ANI C,AL ENG R
OF PERMITTEE 'di:5::wz
ME PERMIT VALIDATIO cK M � `CASH
PLAN CHECK VALIDATION CK M o CASH wF—
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