HomeMy Public PortalAbout6039ALESSANDRO AVE_Plumbing (5) -6A667 CE#817262 TEMPLE PLE .CITY
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
ADDRESS Q
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET sl 25 MAIL
BATH TUB 125 ADDRESS
SHOWER 125 CITY TEL N ^.4(p
LAVATORY 125 CONTRACtgR
SINK 125 ADDRESS
DISHWASHER 125 CITY TEL NO i�.-jzsxs
LAUNDRY fUB 125 CONTRACT STATE
REGISTRA N NO Q COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE PROCE D Y
WATER HEATER 150
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
0
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APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING J
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING HOT WATER HEATER
1 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 I TH GAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE D CRI D RESIDENT L PRO RTY UTILITY CO NOTIFIED
SIGNATURE �� �^
OF PERMITTA,v,_a
FINAL
VALIDATION ROBERT A WOOD
CK M o CASH SUPERVISING MECHANICAL ENG R
9-9 2 2o' SEP 10 5D
3-50- 4