HomeMy Public PortalAbout5822ALESSANDRO AVE_Plumbing 76 A 667 ➢CE 817 8/68
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" , APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCAL
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50 L
MAIL �J
BATH TUB 1 50 5'� ADDRESS,50 —),
—), e)
SHOWER 1 50 tl 11 CITY TEL NO
LAVATORY 1 50 1 3-0 CONTRACTOR
SINK 1 50 6 p ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROU ZONE PROCESSED BY
[AWN SPRINKLER SYSTEM 2 00 -6-09 _ Z d
O
WATER HFATER 1 50 INDUSTRIAL V
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 1 50 O
INSPECTION RECORD 1'.—
OUTLETS OVER
U
5 PER SYSTEM 30 a
Z
Plan check fee 2ii of abo%e See reverse
PLUMBING PERMIT ISSIJINC F I F $ 2 00
10741 FFF 5J
APPROVALS DAT ECTOR S!/NATURE
Plan check -ipplic int UNDER SLAB WORK Z Q
Name ROUGH PLUMBING
Addre S4 GAS PIPING r ��
GAS VENT
Cit) lel No HOT WATER HEATER
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 14
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DE RIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTEE 0dj
PERMIT VALIDATION CK M OCASH
(PLAN CHECK VALIDATION CK M O CASH
9 2 9 SEP 2 2 D 9.5 0 w
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