HomeMy Public PortalAbout5946ALESSANDRO AVE_Plumbing 76A667 (CE 817) 5/73 ~ I rY eP rz�-19 �1,�5,eYr
APPLICATION FOR, PLUMBING PERMIT
COUNTVOF LOS ANGELES
DEPARTMENT-OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE fT0 w " UILD ING
1ADDRESS
HARVEY T BRANDY COUNTY ENGINEERS t, LOC'ALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) 'NEAREST +
CROSS ST^ -5-
NUMBER FIXTURE OR ITEM @ FEE { OWNER
WATER CLOSET 1 75
MAIL ��//f6 f ti� y rt
BATH TUB 1 75 ADDRESS i,/
SHOWER 1 75, CITY TEL NO l
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LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS �O /��/�✓
DISHWASHER 1 75
ClITY L 6r TEL NO M y7a
CLOTHES WASHER 1 75 STATE �jLICI 1 { ,
af// ICLASS
SWIMMING POOL RECEPTOR 1 75 LICENSE NO
DISTR CT NOGROUP N OC ED
LAWN SPRINKLER SYSTEM 1 75dQ c�F 1 P
WATER HEATER 1 75 S` 1NDUSTRIIAL !!//
WASTE APPROVAL }
GAS SYSTEM OUTLETS 1 75
�t INSPECTION RECORD CD O
OUTLETS OVER U
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Plan check fee See Reverse ti
PLUMBING PERMIT ISSUING FEE $ 3 100
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TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK r
Name 1 r' ROUGH PLUMBING
AddressGAS PIPING
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City 7 ,Tel No GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER � -7-341
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING , GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED , v
LICENSED AS REOUI L
RED BY OS ANGELES COUNTY D STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ND INTEND TO
RESIDE IN THE ABOVE DESCREST ENTIAL PR RTY FINAL a h 2� �
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LS IG NA TU RE of
OF PERMITTEE i r r
PERMIT VALIDATION cK M 0 ` CASH
PLAN CHECK VALIDATION f CK M 0 CASH e
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a 5ti 0 4.7 5 m--�o
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