HomeMy Public PortalAbout5837,5837 1/2ALESSANDRO AVE_Plumbing 76 A 667—CE �87P68
APPLICATION R , PLIJBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY N
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER /
WATER CLOSET 1 50
nlnn
BATH TUB 150 ADDRESS
SHOWER 1 so CITY TEL NO
LAVATORY 1 SO CONTRACTOR
SINK I SO ADDRESS
a.
DISHWASHER 150 CITY TEL NO
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ott _q1
CLOTHES WASHER 1 SO STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROUP ONE PRO S6 D B >-
Cl-
I AWN SPRINKLER SYSTEM 2 00 �D `�- 2 0
WATER HFATER 1 50 INDUSTRIAL `J Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD w
OUTLETS OVER CL.
5 PER SYSTEM 30 C")
I
Z
Plan check fee 2�,-, of aboxe See reverse
PLUMBING PERMIT ISSIIINC FLE 8 00
I OTAL FE FZS
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check oppll(-1n1 UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CIC) Tel NO HOT WATER HEATER
IHEREBY 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNERify
D INTEND TO
RESIDE IN THEA t DECCRIBED RESIDENTIAL FINAL
41
SIGNATURE JACK R ALLEN PE ISI M HANICAL ENG R
OF PERMITTEE
PERMIT VA IDATION c K M O CASH
PLAN CHECK VALIDATI&V CK M o CASH
97I IAAY u� 5 D 4,75-
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