HomeMy Public PortalAbout5606ALESSANDRO AVE_Plumbing 78A887 CE9817 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS i
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE I
OWNER
WATER CLOSET $125 MAIL
BATH TUB 1 25 ADDRESS r
SHOWER 125 CITY TEL NO t
LAVATORY 125 CONTRACTO
SINK 1 25 ADDRESSZ: - .ee
DISHWASHER 125 CITY TEL NO C
LAUNDRY TUB 125 CONTRACTOR STATE
REGISTRATI OCOUNTY
CLOTHES WASHER 1 25 DISTRICT NO GROUP .ZONE PROCESSE BY
WATER HEATER 150 -5" Q :
GAS SYSTEM OUTLETS D_
1
WASTE so INDUSTRIAL
O
OUTLETS OVER 5 PER SYSTEM 30 U
INSPECTION RECORD /J
o
- Lu
W
D.
Z
1
t
II APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK / 1
f- ROUGH PLUMBING
TOTAL FEE %o GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND GAS VENT STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
(I 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 M THE LEGAL OWNER F AND INTEND TO
RESIDE IN THE ABOVE E CRIBED RESIDENT IA PERTY UTILITY CO NOTIFIED
SIGNATURE `
OF PERMITTEE FINAL \
ALIDATION ROBERT A WOOD \
U cK M 0 CASH SUPERVISING MECHANICAL EJG R
F
�
01 0 9 3 JUL 9 5 D 3.50-
v