HomeMy Public PortalAbout4826ALESSANDRO AVE_Plumbing (2) DEPARTMENT OF COUNTY ENGINEER mr L U B 1 N G
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENGINEER ADDRESS ,/ J
FOR APPLICANT T9. FILL IN LOCALITY �� V
BUILDING �� p NEAREST
ADDRESS C CROSS ST
DISTRICT�10 GROUP ZONE PERMIT NO
LOCALITY — �// �� OP/
NEAREST
CROSS ST �RECEE! ED'BY Ready for Inspection DATE(ISSUED
OWNER �'
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER VALLEY BOULkIARD PLUMBING CO, I zn I- -0,' n
ADDRESS 83CO FAST VALLEY [3LVD �' sn
CITY r'rflQ,,
R ,j AD TEL NO AT 2 2719 `'
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STATE
'ICENSE NO 'J %-Gwh*PW J
PERMI FEES a
z_
NUN BER TYPE OF FIXTURE OR ITEM FEE V,
WATER CLOSET(TOILET) @ 080 $
BATH TUB @ 080 '
SHOWER @ 080
LAVATORY(WASH BASIN) @ 080
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE '?eu GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENXEQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OFNIA OR HAT M THE LEGAL OWN
ER OF THE AB (IBD SI ALPROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE _
FINAL
76A667 DBS 17 1/53