HomeMy Public PortalAbout6039ALESSANDRO AVE_Plumbing (4) 78S I'17
DBA0APPLICATION FOR PLUMBING PERMIT
( IVISION OF BUILDING AND SAFETY
Deportment of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS �i
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY `
FOR APPWAN7 ,Tp FILL IN NEAREST 1
CROSS ST
OWNER DISTRICT NO GROUP ZONE I READY FOR INSPECTION
MAIL
ADD SXO
CITY TEL N (f INDUSTRIAL
WASTE APPROVAL
PLUMB INSPECTION RECORD
ADDRESS
Vl000y-
CITY� , (� TEL N
LICEN O y/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB ORTRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE A 1i
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFYTPkkT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRE Y LO GELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM HE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT P PERTY
SIGNATURE I J!![
OF PERM ITT E 1 FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK 17 0 CASN
', E� ,0 5 4 2 3. RPR 2 3 200 in