HomeMy Public PortalAbout5939,5939 1/2ALESSANDRO AVE_Plumbing 76A667 CE817 12/59 f T SLE CITE'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND AFETY DIVISION BUILDING
JOHN A LAMBI COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY-7—C— /-1 P L LC l`7-
FOR APPLICANT TO FILL IN CROSS ST L A,S O P A S
NUMBER FIXTURE OR ITEM
OWNER �A UL DSV 1 D Sa III
WATER CLOSET
MAIL
BATH TUB TSL�1
ADDRESS N o SS N D RO
SHOWER CITY EK PLC C/-T X TEL NO -r
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL NO
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT�NOO GROUP ZONE PROCESSED BY
WATER HEATER BUJ
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y,
P.
O
U
7-9-4e) O
p /moi F
rn
@ $1 00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY n UTILITY CO NOTIFIED
SIGNATURE X _
OF PERMITTE FINAL
®e VALIDATI ROBERT A WOOD
CK M OCas SUPERVISING MECHANICAL ENG R
L-f'lo 6 7c:3 JJIL 7 5 u 3 CDU Y�
r lsrs��-I�t�