HomeMy Public PortalAbout6039ALESSANDRO AVE_Plumbing (2) -6A667 CE#817 2 62 TEMPLE PLL CITY
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDR7-
FOR
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JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LOCA
APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1 25 MAIL
BATH TUB 1 25 ADDRESS
SHOWER 125 CITY TEL
LAVATORY125 CONTRACdR9��
SINK 1 25 ADDRESS
DISHWASHER 125 CITY ' TEL NO/-FO/
LAUNDRY TUB 125 CONTRACT STATE
REGISTRATION NO Gs /� COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE PROLE D Y
WATER HEATER 1 50
GAS SYSTEMOUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD a
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GC
O
F-
U
W
IZ
N
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I ND HCORRECT
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT /
ASTATE THAT THE ABOVE IS AND AGREE TO COMPLY /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 TH GAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE D CRI D RESIDENT L PRO RTY UTILITY CO NOTIFIED
SIGNATURE M A-
OF PERMITTE
FINAL .,/v / ✓Y/
VALIDATION ROBERT A WOOD
CK M o CASH SUPERVISING MECHANICAL ENG R
9922Q SEP10 5 D 3:50- 7
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