HomeMy Public PortalAbout5837,5837 1/2ALESSANDRO AVE_Plumbing (2) l�
76 A 667—CE 817 8/68
APPLICATION OR PL BING 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 LOCALITY 1
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST
7
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 150 OWNER
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY &NA4Z�NO `
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADD
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER I SO STATE! LIC 0
NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROUP NE SSED BY
I AWN SPRINKLER SYSTEM 2 00 O
WATER HFATER 1 50 INDUSTRIAL U
WASTE APPROVAL z
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD �
U
OUTLETS OVER 30 w
5 PER SYSTEM Cl-
Plan
Plan check fee 2-)% of abo-,e See reverse
PLUMBINC PERMIT ISSUING FCF $ 00
IOTIL FEF
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check appll(-ant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CIC}' 1 el NoGAS
WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL 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
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THEA OVE DESCRIBED RESIDENTIAL PROPE FINAL �0
SIGNATURE JACK R ALLEN, SU RVISING HANICAL EN6 R
OF PERMITTEE
PERMIT VALID ION cK M o CASH
PLAN CHECK VALIDATION CK M o CASH
1 0 5 2 731 MAY 14T5 D 4.7 5 A