HomeMy Public PortalAbout5757ALESSANDRO AVE_Plumbing 76A667 CE4817 10 67
R' APPLICATION FOR PLUMBING PERM, 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DMSION ADDRESS �� C
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY TEL NO j-7 6
LAVATORY 1 so CONTRACT
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DIST ICT NO :TP ZONE 1,ZPOCE?SSqEG P
LAWN SPRINKLER SYSTEM 2 00 U
V
WATER HEATER 1 50 INDUSTRIALWASTE APPROVAL
O
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V
OUTLETS OVER LU
5 PER SYSTEM 30 JCLCIO
Plan check fee 25% of above See reverse
PLUMBING PERNU I ISSUING FIDE 5 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST I
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
16
RESIDE IN THE ABOVE DESCRIBED ESIDENTIAL PROP RTY FINAL _ WSIGNATURE s JACK R ALLEN SUPERVISING MECHANICAL
47
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION c M o CASH
LALO 7 2 2 9,3 NOV12 5 D 3.53~ ell