HomeMy Public PortalAbout4914 ALESSANDRO AVE_Plumbing__ _ 76ASS7 17 5 30 APPLICATION FOR PERMITDEPARTMENT OF BUILDING AND SAFETY
n COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT-NO GROUPI ZONE PERMIT NO
PLUMBER �'" o ��' RECEIVED BY READY FOR DATE ISSUED
ADDRESSs�p�/ FIRST INSPECTIONBUILDt �/
NG
CITY vv TEL NO a j' ADDREISS
COUNTY LOCALITY
LICENSE NO ® EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER OWNER
MAIL
TYPE OF FIXTURE OR ITEM FEEqq
WATER CLOSET (TOILET) Q O 50.1s ro ADDRESS
BATH TUB @ O 50 1 CITY- �' TEL NOIQ
SHOWER @ O 50 P 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 2 ® APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 '� g I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
� OF THE
GAS Sl SIGNATURE OFA ROABO I STEM OUTLETS @ O 50 I �A V In
WATER HEATER @ O 50 I �N PERMITTEE I
SLOP SINK @ O so I INSPECTION RECORD
FLOOR SINK @ O Sol
FLOOR DRAIN Q O 501
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O 50
URINAL @ O 501
1 HOUSE SEWER @ O 501 Q
MISCEL ANEOU I I (7
I�
I�
APPROVALS
1 DATE ,/INSPECTOR S NAME
1 i 1 ROUGH PLUMBING
GAS PIPING
1 ( GAS VENT
CESSPOOL Q 1 00 I 1 CESSPOOL ' �I
1 SEPTIC TANK II SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 1SEWER
PERMIT I 1 00 GAS TEST j
TOTAL FEE $ UTILITY CO NOTIFIED ()Y)1an d�" ;Pfr
I� FINAL