HomeMy Public PortalAbout5941 ALESSANDRO AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING ,(
WILLIAM J FOX, COUNTY ENGINEER ADDRESS .JrL741
FOR APPICYANT TO FILL IN LOCALITY /
BUILDING I y y) NEAREST V
ADDRESS 9991! CROSS ST
_ 71:�)
�� DISTRICT NO GROUP ZONE PERMIT NO
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LOCALITY CP �� Ce✓�tOT 3 �50
NEAREST __ __�j�
CROSS ST C �i�'a�0� RECEIVED BY Ready for Inspection DATE ISSUED
0 W N E R't"Y'�L.,rja
INDUSTRIAL
MAIL-ADDRESSWASTE APPROVAL
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CITY / TEL NO INSPECTION RECORD
ADDRESS /�,�/j/�//_
CITY
w TEL NO i""'"
COUNTY
4 7 q ❑
IIrENSE NO [7 COUNTY J
PERMIT FEES a
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4UHRE4 TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 080 $
O
BATHTUB @ 080
\ SHOWER @ 080
\ LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
_ LAUNDRY TUB OR TRAY" @ 0 80
`SLOPSMK /(/rn Wa_SAeP_@ 080 (�
FLOORSINK 1r_Lt; /'Yf6,S) @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
UR NAL @ 080
GAS SYSTEM _ OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
t PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE / 80 GAS PIPING
IHEREBf ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO CCMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELFS COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURES y�/'- ,.eL�{-,.,,��
OF PERMITTEE FINAL T // X
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