HomeMy Public PortalAbout5813ALESSANDRO AVE_Plumbing (2) 76A667 -CE#Bh1,2-62 _-.-
I' ' APPLICATION FOR PLUMBING PERMIT
J COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING t—
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL ^ 1
BATH TUB 1.25 ADDRESS /
SHOWER 1.25 CITY O.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE CESSED BY
WATER HEATER 1.50 1
1 y T�
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD �-
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I M THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, TME ABOV E RIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE �l
OF PERMITTEE / -
FINAL
VALIDATION-) ROBERT A. WOOD
CK. M O. ( C�-ASH/J SUPERVISING MECHANICAL ENG'R