HomeMy Public PortalAbout4930 ALESSANDRO AVE_Plumbing__ 76"68' T7 8 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUPI ZONE PERMIT NO
PLUMBER el e. RECEIVED BY READY FOR — ATE ISSUED
ADDRESSyy��( ,�yd �1/� QRST INSPECTION �j���9/
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CITY d'V TEL NIA V rY Id ADD ORESCOUN .
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L CEN ENO v EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER
MAIL s
WATER CLOSET (TOILET) ® O s0 $ ��{� ADDRESS/��
BATHTUB Q O 50 a CITY 4e4-e--N- .clw
TEL NO
SHOWER Q O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) Q O s0 d d 'APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O s0 ANGELES COUNTY LICENSE OR I AMTHE LEGAL OWNER
GAS SYSTEM
®® OF THE RESIDENTIAL PROPERTY
�jDESCRIBED ABOVE.
�OUTLET6 Q O 50 `A SIGNATURE OF
WATER HEATER Q O 50 t5 A PERMITTEE
r
SLOP SINK Q o so INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN Q O 50
URINAL O 50
J
HOUSESEWER O sol Z
MISCELLANEOUS 0
l O
l
l
l
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING s'
GAS PIPING
GAS VENT f
CESSPOOL Q I 001-T CESSPOOL
SEPTIC TANK I1_ SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED
$
`' FINAL