HomeMy Public PortalAbout5941ALESSANDRO AVE_Plumbing (3) 76A667 CE817 12/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER a
BUILDING �SN�D AFETY DIVISION BUILDING p—
JOHN A LAMBI COUNTY ENGINEER ADDRESS r� 5
WILLIAM A JENSEN SUP T OF BUILDING
.qim.ihz mm .11 LOCALITY E-H P I— C C !T
FOR APPLICANT TO FILL IN CROSS T L—A 5 T v 1J A S
NUMBER FIXTURE OR ITEM OBER U L v j S Q/�/
WATER CLOSET - Q U � ) LC
ADDRESS L� / / /" / 4 LCi S S A)D R 6
BATH TUB
sxowER CrrY L L L! x0 7—r 2 7
LAVATORY CONTRACTOR
SING DDRESS
DISHWASHER f'ITY NO
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER F"AASTE
NO`/ GROUP ZONE P OCESSED BY
WATER HEATER /�
GAS SYSTEM
OVALINSPECTION RECORD
O
O
' o r % 6Y1 1917# Titin/ W
N
ALFA
51OR IX
00 PER I
FTURE $ I
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2�OoFGAN
LAB WORKTOTAL FEE PLUMBINGfi� ING P
1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYT ..�1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGTER HEATER ?PLUMBING °`.1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORNG FIXTURES LICENSED A3 REQUIRED BY LOS ANGELES COUNTY AND STATE OFT CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY CO NOTIFIEDSIGNATUREOF PERMITTE
OF VALIDATIROBERT A WOOD o
CK le O / C-s SUPERVISING MECHANICAL ENG R
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