HomeMy Public PortalAbout5623ALESSANDRO AVE_Plumbing (3) DBS 81°71055 APPLICATION FOR ,PLUMRING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer r
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS v (O J
CASSATT D GRIFFIN.SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS STS"
OWNER DISTRICT,rJy GRO P ZPNE�I READY FOR INSPECTION
MAIL
ADDRESS (pdc o7
INDUSTRIAL
CITY TEL N WASTE APPROVAL
el or
PLUMBER y INSPECTION RECORD
ADDRES iC
X6-a.s/I
calle
CITY TEL NO
LICENSE �6 /49 /J!sJ
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00 Iva
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE UU
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER 0 y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL RO RTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CN m 0 CASH
t JC0 8 3 4 E JUL 1 3 3 200 iD