HomeMy Public PortalAbout5623ALESSANDRO AVE_Plumbing (4) APPLICATION FOR PL MBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND 511FETY DIVISION BUILDING
JOHN A. LAMBIE, UOUNTY ENGINEER ADDRESS 'V✓
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
l OWNER
J WATER CLOSET MAIL
BATH TUB ADDRESS
/ SHOWER I CITY TEL. NO.
LAVATORY CONTRACTOR /--,-0 A/
SINS '1 ADDRESS 6 X r9zQozWAeY
DISHWASHER CITY 61 �� TEL. NJOJ. [- 9 47STATE W
/g// LAUNDRY TUB % • REGISTRRAT ON NO. ` CJ COUNTY ❑
/ CLOTHES WASHER /. DISTRICT NO. GROUP P SSED BY
WATER HEATER / L
% GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
a
O e
U
W
a
N
z
$1.00 PER ITEM
OR FIXTURE $ / APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE I /" ROUGH PLUMBING
'"' GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LDESCRIBED
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
.
Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
RESIDENTIAL P OPERRTY. �/� UTILITY CO.NOTIFIED
RE �F'ITTE v � FINAL
®F VALIDATION ROBERT A. WOOD,
cC. Y.O. CASH SUPERVISING MECHANICAL ENG'R
L&O4 5 9 6,1.ol SEP 20 5 D 9.75-