HomeMy Public PortalAbout4821ALESSANDRO AVE_Plumbing 76A667o 17�8,49.0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
` COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
J" 130g'6- �31
PLUMBER C t4 RECEIVED BY READY FOR DATE
IS/SU//ED
A ./� FIRST INSPECTION L7"'f ,i
ADDRESS ►r{w� 3.�4.P� an
� 4-1
BUILDING ^ Y
CITY � _ Nlyll...x1 TEL NOSd ,-t-B'd'e`DDRESS �r{
COUNTY <� of ♦ `' LOCALITY
LICENSE NO O V EXPIRES '3t -%S
N EAR EST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNS stY"�,�
MAIL nJ
WATER CLOSET (TOILET) Q O So $ ADDRESS? q9
BATH TUB Q O 50 CITY(/L/LiC�.�d�Ge� TEL Na 9 J Z+�
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
e KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AMTHE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEMOUTLETS @ O 50 SIGNATURE OF
WATER HEATER @ O 50 PERMITTEE C 9.
SLOP SINK @ o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q o 50
DISHWASHER @ O 50
DRINKING FOUNTAIN Q O 50
URINAL @ O 50
J
HOUSESEWER Q O so Q
Z
MISCELLANEOUS 0
O
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL
V
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 OO GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE I $ �/ 1�0 � - 2
"j FINAL
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