HomeMy Public PortalAbout5939,5939 1/2ALESSANDRO AVE_Plumbing (2) 76A667 CEII171-59
APoLPLICATION FOR PLUMBING
coP�FZ IT
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE County. Ea neer ADDRES3
CASSATT D GRIFFIN Supt of Bmldmg
LOCALITY
FOR APPLICANT TO FILL IN xEAREsr
CROSS ST
NUMBER FIXTURE OR ITEM
I OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITYSTEL NO
SHOWER
LAVATORY
CONTRACTof17
SINS ADDRESSe
DISHWASHER CITY TEL NO
CO OR STATE
LAUNDRY TUB REGISTRATION NO COUNTY Ej
CLOTHES WASHER DISTRICT NO GROUP I ZONE P ES E BY
WATER HEATER 3
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
W-20,1 Z_
$100 PER ITEM I k5lo 14
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ '2100 UNDER SLAB WORK S-2,
TOTAL FEE null ROUGH PLUMBING ,6L
S p
�J'� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT Z -r^
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CE '
LINSED 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 UTILITY CO NOTIFIEDv
SIGNATURE
OF PERMITTEE —'
FINAL
®P VALIDATION ROBERT A WOOD
CK m 0 CASH SUPERVISING MECHANICAL ENG R
00991 1IA118 5 A 1600