HomeMy Public PortalAbout5552 ALESSANDRO AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING a�
WILLIAM J FOX, COUNTY ENGINEER ADDRESS �j Ot
FOR APPLICANT TO FILL IN LOCALITY �—
BUILDING NEAREST
ADDRESS 5552 Alessandro St, ROSS ST
DISTRICT NO GROUP✓ ZONE PERMIT NO
NEAREST
LOCALITY Temple City F� `3 7
NEAREST /v
CROSS ST RECEIVED BY Ready for Inspection .JDATE ISSUEDI
OWNER � + ll
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER T. J. HOLLIDAY I�
ADDRESS 5003 No Camellia Ave.
CITY TEL NO -
STATE
LICENSE NO C-36 92754 COUNTI J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM PEE Vr
_:L_ WATER CLOSET(TOILET) @ 080 $ 0!
O
BATH TUB Cad 080 AA
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80 An
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCELLANEOUS =
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING s' �
TOTAL FEE 7 OO GAS PIPING
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED n
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST 1 V1
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN n�
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE � s-
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FINAL LEI<' ?i ,t
78A687 DBS 17 1/53 ~
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