HomeMy Public PortalAbout5813ALESSANDRO AVE_Plumbing 76A667 CE0817 9/63 44
APPLICATION FOR PLUMBING PERMW
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB 1 25 ADDRESS
CITY NO
SHOWER 125
LAVATORY 125 CONTRACTOR
SINS 125 f S ADDRESS
DISHWASHER 125 CITY TEL NO
RACTOR S STATE
LAUNDRY TUB 125 REGISTRATION ON NO COUNTY p
CLOTHES WASHER 1 25 DISTRICT NO GROUP I ZONEP �`ESSE/D BY
WATER HEATER 1 50 / L �-7c�-
GAS SYSTEM OUTLETS ISO WASTEINDUSAPPIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 TSPECT105 RECORD U
fc d1 W
w r 0_
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE
7 ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST WIVA��• t (jQ1r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABO feCR IBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED j — ".`� 4 .✓ �_
SIGNATURE w A
OF PERMITTEE FINAL
VALIDA ROBERT A9WOOD
CK M o CASH UPERVISING MECHANICAL ENG R
LAW AUG 31 5 D 475-
2