HomeMy Public PortalAbout5615ALESSANDRO AVE_Plumbing (2) 176A667A
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
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NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL �J
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS 1
SWIMMING POOL RECEPTOR CITnW ^1 TEL N ��
LAWN SPRINKLER SYSTEM STATE '` LIC
WATER HEATER O� LICENSE NOlijL;0— CLASS
GAS SYSTEM OUTLETS 49APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ° ROUGH PLUMBING
GAS PIPING 0
GAS VENT w
Lel
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST 3,0
Plan check fee UTILITY CO NOTIFIED "
PLUMBING PERMIT ISSUING FEE$ D tS
TOTAL FEE FINAL r
Plan check op kcant PLAN CHECK VALIDATION
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Address :93 226 A
City Tel N
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION 2 o o 1 6 Q 0
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS '0 0 0 '1 LU O O 2
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE I U
LEGAL OWNER AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY Dal 4-79
1 Y
SIGNATURE '
OF PERMITTE
DISTRICT NO PROCE SEDBY� ° FRS COMPENS A t�
90
INDUSTRIAL �J 8 1Wf4
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WASTE APPROVAL �'� 11 .DER'^ �'