HomeMy Public PortalAbout5941ALESSANDRO AVE_Plumbing (5) / 76 A 667 - CE 817 7 69 CITY Cw TENPW CITY
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V APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B50366
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILNG
+ F JOHN A LAMBIE COUNTY ENGINEER ADDREDISS 5941 Alessandro
COLEMAN W JENKINS SUP T OF BUILDING
LOCALITY-Temple city
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEACROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB _ 1 50 ADDRESS I&M
SHOWER T 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR " b*a 1
SINK 1 50 s ADDRESS M woo Z"L
DISHWASHER 1 50 CITY TEL NO 04 04"1
T w
"CLOTHES WASHER 1 50 LICENSE NO CLASTATE Ic SS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROUP ZONE, PROCESSED BY J
LAWN SPRINKLER SYSTEM 2 00
J, WATER HEATER 1 50 6V WASTE APPROVAL a, 0.
O
YGAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V
OUTLETS OVER W
5 PER SYSTEM 30 moi$ J
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QC
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Plan check fee 25% of above See reverse I�U
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PLUMBING PLR14I1 ISSUING FEE 8 2 00
T01AL FEE 3 50 f
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES I
WITH ALL COUNTY ORDINANCES AND STATE LAWS`REGULATING GAS TEST
PLUMBING f
1 HEREBY rERTIFY 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 THE ABOVE DESCRIBED RRT P�tOA�RTY FINAL
SIGNATURE
OF PERMITTEE �'�` " JACK R ALLEN SUPERVISING MECHANICAL ENG R
PERMIT VALIDATION�CK M o CASH
PLAN CHECK VALIDATION CK M O CASH ry