HomeMy Public PortalAbout5751ALESSANDRO AVE_Plumbing 76A6177 9APPLICATION FOR PLUMBING PERMIT
D1
OBS I . ■VISION OF BUILDING AND SAFETY
Department of County Engineer r
County of Loa Angeles BUILD /�
WM J FOX COUNTY ENGINEER ADDREISS�„f J�J(J�
CASSATT D GRIFFIN SUP T OF BUILDING //
LOCALITY '/ '` `7. � h
FOR APPLICANT TO FILL IN NEAREST
'i� CROSS ST h v s Ti �y /+
OWNE �f n DISTRICT NO GRO�I.p I � READY FOR INSPECTION
MAILADDRESS4
/ /Y 4 � S A D � �y,
y /,-�/ INDUSTRIAL
CITY 11 L"v'y � ✓ v- L NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRES �^ arc aJI
CITY R, ' / TEL NO �+` A
LICENSE NO / 3 3-N' 2-3 _
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ U
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK �} '
DISHWASHER
I LAUNDRY TUB OR TRAY d
CLOTHES WASHER
TOTAL NO @ 080 �
APPROVALS
GAS SYSTEM=J=OUTLETS @ 1 00 O 0 DATE INSPECTOR S SIGNATURE
WATER HEATER @ 1 00 d0 UNDER SLAB WORK
ROUGH PLUMBING `
PERMIT S 1 00 -
Lo
GAS PIPING
TOTAL FEE v GAS VENT
I HEREB( ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAI., OWNE OF TIE ABOVE UTILITY CO NOTIFIED
DESCRIBED REST NTIAL PR PERTY
SIGNATURE
OF PERMITT
ti
WILLIAM J OX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
}ACol 3 2 7—U-1 OEG 3 0 3 940 to
v