HomeMy Public PortalAbout4827ALESSANDRO AVE_Plumbing (2) 7"".67 17 s 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
t� WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
f30�,,- 30PLUMBER �y RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /a ��e
ADDRESS -1` `�'
BUILDING
CITY TEL NO*Z� (S y ADDRESS
COUNTY e� o �`� LOCALITY
LICENSE NO �/ EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER .t.l
MAIL oj
WATER CLOSET (TOILET) @ O 50 $ ADDRESS,,-)
BATH TUB @ O 50 CITY TEL N
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 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
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THATIC! POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
��yy OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEMa.11L—OUTLETS @ O 50 SIGNATURE OF C 6Z
,K
WATER HEATER Q O 50 PERMITTEE W
SLOP SINK Q o So INSPECTION RECORD
FLOOR SINK @ O Sol l
FLOOR DRAIN @ O 50
DISHWASHER @ O 50I
DRINKING FOUNTAIN @ O 50
URINAL Q O 50
J
HOUSE SEWER Q O 50 I Q
Z
MISCELLANEOUS (�
O
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
zy
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST 1
UTILITY CO NOTIFIED
TOTAL FEE $ �y/ '60
FINAL