HomeMy Public PortalAbout5827ALESSANDRO AVE_Plumbing (3) 76A667-CES17 6-60
APPLICATION FOR PL LIMBI G PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CROSS SST. ^s
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY E TEL. NO.
LAVATORY CONTRACTOR
SINE ADDRESS
1
DISHWASHER TEL.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. D ('4 COUNTY 11
CLOTHES WASHER DISTRICT NO. GROUP ZONE P SSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
N
a
O
U
W
O
F
U
W
a
yz
G�
$1.00 PER ITEM
OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE -� ROUGH PLUMBING
�J GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT q�' P
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEG NER OF E ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITT7FINALLi
®r VALIDATION ROBERT A. WOOD,
Ill.0. CASH SUPERVISING MECHANICAL ENG'R
It.
r