HomeMy Public PortalAbout4838ALESSANDRO AVE_Plumbing 'YeAS67 17 a SO ID APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
1 COUNTY OF LOS ANGELES
s WILLIAM J FOX CHIEF ENGINEER
~ FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
Com"" ``l' X3.7 _
PLUMBER e �� ' RECEIVED BY READY FOR DATE ISSUE
I a' � FIRST INSPECTION
ADDRESS �y��,,�CvS `
CITY .5 "'`�' BUILDING
TEL NO ADDRESS '1 g �i
COUNTY ` `� LOCALITY 7 d �+
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS STS �{
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER w' -`"� � C '
'
MAIL
I „
WATER CLOSET (TOILET) @ 0 sol$ VO4 ADDRESS g
J BATH TUB @ O Sol— ral CITY � TEL NO ? °19 �
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I '�j APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 501 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
�/ OF THE RESIDENTIAL PROPERTY`DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O 50 .p7 G �,
d V SIGNATURE OF
WATER HEATER Q O 501 PERMITTEE
SLOP SINK @ 0 501 INSPECTION RECORD
FLOOR SINK @ O Sol
FLOOR DRAIN @ O 501
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O 50
URINAL aril O SOI J
IHOUSE SEWER @ O 501 1 Q
MISCELLANEOUS
0
I
I�
I�
I I
I
APPROVALS
DAl E /INSPECTOR S NAME
ROUGH PLUMBING i
n
GAS PIPING
�— GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK I I SEPTIC TANK /
I DRAIN ( ) PIT ( ) Q 1 001 SEWER
PERMIT 1 00 GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED/ �_J✓
� $ ���
FINAL .E'