HomeMy Public PortalAbout4809ALESSANDRO AVE_Plumbing E7PAR5-49 TM® ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
PLUMBING
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COUNTY OF LOS ANGELES u G
WILLIAM J. FOX, CHIEF ENGINEER B' '
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
FADDRESS
REEIVED BY READY FOR DATE ISSUED
FIRST INSPECTIONy.
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BUILDING
CITY T� —Yy\-llw� TEL Nofa
' ADDRESS
COUNTY / �V EXPIRES �7 l 0 J, - LOCALITY
LICENSE NO.
NEAREST
PERMIT FEES CROss ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ 1 ADDRESS 3 �`}�Q
BATH TUB @ 0.50 I CITY L�(/t,,.{ ^I .( •( + TEL NO._U6 1 R
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM�-? OUTLETS @ 0.50 SIGNATURE OF ��,��
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WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
1 DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501 J
1 HOUSESEWER @ 0.501 Q
Z
MISCELLANEOUS (�
1 O
L 1
1
1 APPROVALS
1
1 DATE INSPECTOR'S NAME
1 ROUGH PLUMBING 1
1 I GAS PIPING
1 1 GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN-( ) PIT ( ) @ 1.00 1 SEWER
PERMIT . 1,00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ 1/
-/ A � FINAL 1I