HomeMy Public PortalAbout5615ALESSANDRO AVE_Plumbing (4) 7GA667 �-E*817 S/63
APPLICATIO R PL BING WRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS BUILDING
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Ap�ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET it 25 MAIL _
BATH TUB 1 25 ADDRESS
CI TEL NO,� Z-
SHOWER 1 25
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESSZN Lee Ave
407
r
DISHWASHER 125 CITY qn TEL NO
LAUNDRY TUB 125 CONTRACTOR'S ❑
TRETION NO COUNTY ❑
CLOTHES WISHER 125RICT NO GROUP ZO EPROCESSED BY
WATER HEATER 150GAS SYSTEM OUTLETS 150 �OVAL CL
O
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD V
0
CL
V)
- Z
_ APPROVALS DATE INSPECT IGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 4
ROUGH PLUMBING
T 1�rjv
TOTAL FEE T GAS PIPING
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO GAS TEST
r0 4
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
0CKLIDATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG R
LAW 13- a%-Q APR 2 5 5 D 1 10 0- v