HomeMy Public PortalAbout5940 ALESSANDRO AVE_Plumbing__ t7eA667 17 s 50 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY I
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER �`
N G
FOR APPLICANT-lTO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
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1,
PLUMBER / lrk+ 1- �23
RECEIVED BY READY FOR DATE ISSUED
p j� �IAJ, FIRST INSPECTION /�
ADDRESS d', 0 /� 401? ll' Ryt V� (C/ b
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CITY . dV iSS L C TEL NO C� 10 �d �+yL ADDRESS J �fe N
COUNTY LOCALITY
LICENSE NO /,S EXPIRESNEAREST
CROSS ST ��S `4.J MI5
PERMIT FEES Al �Q �1
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER A /C J e. 1-t, nm /[
MAIL d
WATER CLOSET (TOILET) Q O 50 $ 1 _f-0 ADDRESS r'Y
BATHTUB Q O 50 CITY 7�.�"s�l��� L'<ty TEL NO
SHOWER Q O 50 14-0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I ��� APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
1 $"Q OF THE RESIDENTIA PROPERTY DESCR�B DNABOVE
GAS SYSTEM---/—OUTLETS Q O 50SIGNATURE OF
WATER HEATER @ O 501 PERMITTE
SLOP SINK @ o so I NSPECTION RECORD
FLOOR SINK @ 0 501 v
FLOOR DRAIN @ O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 501
URINAL @ O 501 � ..I
HOUSE SEWER @ 0 50 17- a
MISCELLANEOUS
I �
1 0
1
I
1
APPROVALS
DATES INSPECTOR S NAME
ROUGH PLUMBING / / J t,
1 i I GAS PIPING I !
CGAS VENT
CESSPOOL @ 1 OOICESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 I SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ �Q
d FINAL 6--J_
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