HomeMy Public PortalAbout5941ALESSANDRO AVE_Plumbing 7E
;A667*17' ' APPLICATION FOR PLUMBING PERMIT
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D17 TO
VISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles BUILDING �//I J/ ) C �) /,,
JOHN A LAMBIE COUNTY ENGINEER ADDRESS s-941 1 A �q L CSS /�r J leo
CASSATT D GRIFFIN SUP.T OF BUILDING ,l
LOCALITY ��/✓I 1�� C I 7
FOR APPLICANT TO FILL INNEAREST -7-VA/4-5
j"� C DIS TRI �ROSSST �GROU ONEMAIL READY FOR INSPECTION
OWNER V t- .L , D r I IDS /, /l
ADDRESS J/'� �l V( r�L!��SANLkv ��
CITY w� Vj /�,(..� 4 r INDUSTRIAL
_TEL NO WASTE APPROVAL
PLUMBER ) - INSPECTION RECORD
ADDRESS
I
CITY TEL NO!
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) r @ $100 $
BATH TUB _ @ $1 00
t
SHOWER @ $1 00 _
LAVATORY (WASHBASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER f,Y i @ $1 00
LAUNDRY TUB OR TRAY ' '@ $1 00
CLOTHES WASHER @ $100
WATER HEATER @ $1 00
GAS SYSTEM @ $1 OCT
r
APPROVALS
{ DATE -INSPECTOR S SIGNATURE
UNDER SLAB WORK
r
PERMIT $ y ROUGH PLUMBING
1 00
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIJSTATE
ON
AND STATE THAT THE ABOVE IS CORRECT AND AGRLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWG PLUMBING FIXTURES
PLUMBING J
I HEREBY CERTIFY THAT I AM PROPERLY REGISOR GAS TEST
LICENSED AS REQUIRED BY LOS ANG LE$$$���COUNTY OF
CALIFORNIA OR THAT 1 AM THE ALI UWNER VE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTYSIGNATUREOFPERMITTEE r � " FINAL
JOHN A LAMBIE COUNTY ENGINEER , VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK !! 0 CASH i
2 ` 57— Oct 4 '1%
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