HomeMy Public PortalAbout5538ALESSANDRO AVE_Plumbing (2) 76 A 667—CE 817 8/68
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BIJUDING AND SAFETY DIMION fA
ILDING
JOHN A LAMBIE COUNTY ENGINEER DRESS
COLEMAN W JENKINS SUP T OF BUILDING CAL 1
FOR APPLICANT TO FILL IN (PR NT OR TYPE) AREST
OSS ST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1 50 OWNER o yklzo
MAIL L
BATH TUB1 50 ADDRESS /
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY G 4 TEL NO'28-
CLOTHES WASHER 1 30 STATE / LIC
LICENSE NO (0 CLASS e ��
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO G�QLjP ZONE VOCSED BY
I AWN SPRINKLER SYSTEM 2 00 �
O
WATER HFATE IW2 11 50 INDUSTRIAL U
WASTE APPROVAL z
GAS SYSTEM OUTLETS 1 50 I 2
INSPECTION RECORD F-
OUTLETS OVER
U
5 PER SYSTEM 30 Lu
C/)
z
Plan check fee 2;- of 3bo%e See reverse
PLUMBING PERMIT ISSUINC H I I S 2 00
1 OTAL FH F
I APPROVALS DATE INSPECTOR S SIGNATURE
Plan check -3hpllc int UNDER SLAB WORK
N-3me ROUGH PLUMBING
Address GAS PIPING
GAS VENT
LAMDSTATE
lel No HOT WATER HEATER
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
NGEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
D AS REQUIRED BY LOSANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IN THE ABOVE DESCRIBED RESIDEN L PROPS FINAL
URE /� JACK R ALLEN SUPERVI51 CHANICAL ENG R
RMITTE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M 0 CASH
1 ��,3 2 0 31 5 Q 350— n3