HomeMy Public PortalAbout5716ALESSANDRO AVE_Plumbing 76A667 CE4817 6 65 �,p l L
APPLICATION FOR PLUMBING _ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION DU NG
JOHN A LAMBIE COUNTY ENGINEERAD DRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CS SSST
ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL J
BATH TUB 1 25 ADDRESS 6 t
SHOWER / O CITY 1 L NO 65�/
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESS a d4 1
DISHWASHER 1 25 CITY STATE /� TEL N �/G !
LIC
LAUNDRY IUB 125 LICENSE NO �(/ CLASS
CLOTHES WASHER 125 DISTRICTNO G ZON O BY
:r I
1
WATER HEATER 1 50 151-t Q e-.- _l
150 INDUSTRIAL }D_
GAS SYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
Ix
O
F.
W
0-
V)
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 ]OF
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING hl X
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICGAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COr P
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULHOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATGAS TESTCALIFORNIA OR THATTHE LE L OWNER OF AND I EN
RESIDE IN THE ABOMIBED E DEN7IAL OPER UTILITY CO NOTIFIEDIr �01
SIGNATURE
4'!
OF PERMITTEE
FINAL
AUDATION
M O CASH
CKollH
-3-50- 17
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