HomeMy Public PortalAbout5827ALESSANDRO AVE_Plumbing 76A887-CE0817 10.82
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 7
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �f
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS .�d
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY'�r > J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
CITY TE NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINK 1,25 ADDRES-'4//,
DISHWASHER 1.25 CITY
CONTRACTOR'S STATE E
REGISTRATION NO. Q `�,- COUNTY
LAUNDRY TUB 1.25 ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PgO6,ESSED BY
WATER HEATER 1.50 J
50 INDUSTRIAL
GAS SYSTEM OUTLETS 1. WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM INSPECTION RECORDIUA
U
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v
t/l
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I
I HEREBY ACKNOWLEDGE THAT 1 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED PERTY. � UTILITY CO. NOTIFIED
SIGNATURE - '^ 'A p
OF PERM ITT RESIDENTI PRO [�,/fc� �,,�•
FINAL I N9C,c/r O ✓_ -•'�,'
DATION ROBERT A�WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
L-ILo 5 5 4 9 Nov 4 5 D 3.50—