HomeMy Public PortalAbout5951ALESSANDRO AVE_Plumbing (4) Z6 A 067—CE 817 8/68
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APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
V r
WATER CLOSET 1 50 OWNERMAIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY TEL NO Z 4::7
LAVATORY 1 50 CONTRACTOR 64f
SINK 1 SO ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO Gg��jlyp NE ESSED BY a
I AWN SPRINKLER SYSTEM 2 00 / D fr �-3 O U
WATER HFATER 150 INDUSTRIAL ZO
WASTE APPROVAL CD
GAS SYSTEM OUTLETS 1 So INSPECTION RECORD v
w
OUTLFTS OVER CA-
5
5 PER SYSTEM 30 / 6 Z
Plan check fee 2i% of above See reverse
PLUMBING PERMIT ISSUINC FLF 8 2 00
I OTAL FF E
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check liNpltc Int UNDER SLAB WORK
Name (J ROUGH PLUMBING
IA7
Address GAS PIPING 0
GAS VENT
Ctt) rel No � HOT WATER HEATER
1 HEREBY KNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST r
PLUMBING
I HEREBY CERTIFY 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 DEYCRI D RESIDENTIAL.PROP RT Y FINAL
SIGNATURE JACK R ALLEN SUPERVISIN CHANICAL ENG R
OF PERMITTEQ4!�� le m
PERMIT VALH)ATION cK M o CASH
PLAN CHE6XALIDATION LV M o CASH
C tf'- 3 3 ,6 4� 011, 115 5 0 3 50-