HomeMy Public PortalAbout4826ALESSANDRO AVE_Plumbing 7BA687 17 a 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
r FOR APPLICANT TO FILL IN DISTRICT NO GROUPI ZONE PERMIT NO
(11:7 a -7,5716-
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS //�q{� �1 g �"' /ey,
CITYge TEL NO �dp7 ADDRESS
COUNTY LOCALITY V
LICENSE NO ® � EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
/ WATER CLOSET (TOILET) @ O 50 $ ;'go ADDRESS
BATHTUB @ 050 CITY' TEL NO 0 ��
SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
/ 0APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 ,�p STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O 50 'am� SIGNATURE OF eo,
WATER HEATER @ O Sol d 0 PERMITTEE
SLOPSINK @ o So ( INSPECTION RECORD
FLOOR SINK @ O 501
FLOOR/DRAIN @ O 501
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O 501
URINAL @ 0 501 ,J
HOUSE SEWER @ O $01 1 z
MISCELLANEOUS n I (7
I� o
I�
APPROVALS
DATE INSPECTOR 5 NAME
ROUGH PLUMBING
GAS PIPING
1 GAS VENT U
CESSPOOL @ 1 00 I CESSPOOL
1 SEPTIC TANK 1 SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 001 SEWER
PERMIT ,
oo GAS TE�'T �1r�
UTILITY CO NOTIFIED /
TOTAL FEE $ ►n
"t V FINAL