HomeMy Public PortalAbout6019ALESSANDRO AVE_Plumbing -6A667 i'lE#817 2+62 TEMPLE:'
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION 17NEARESSTT
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JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
FOR APPLICANT TO FILL IN '
CROSS (Q Q
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1 25 MAIL
BATH TUB 1 25 ADDRES
SHOWER 125 CITY ` TEL NW."
LAVATORY 125 Z CONTRACT ,CX9 vt
SIN% 1 RESS J
DISHWASHER 1 25 � ff TEL
LAUNDRY TUB 1 CONTRALTO r' STATE ❑
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUPE PROCE ED Y
WATER HEATER 1 50 �
GAS SYSTEM OUTLETS 1 50INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 )-
INSPECTION RECORD a� d
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APPROVALS e AT DINS E CTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK l 71
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ROUGH PLUMBING
TOTAL FEE GAS PIPING
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ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT a
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER AI
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��,—t '��"`�,.✓ "'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL NE
R OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RES EN IAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE 1
OF PERMITT FINAL ?Al
VALIDATI, ROBERT A WOOD
CK M J CASH SUPERVISING MECHANICAL ENG R
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