HomeMy Public PortalAbout4839ALESSANDRO AVE_Plumbing 76AS67 17 S 48® APPLICATION FOR PERMIT
lTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN UDISTRICT NO GROUP ZONE PERMIT NO
13o�a- 21
PLUMBER y _ V BY READY FOR DATEISSUED
FIRST INSPECTION
ADDRESS PV
/1✓a
BUILDING
CITY TEL NO ADDRESS
COUNTY
LICENSE NO / 9 0 � EXPIRES - J LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ ADDRESS
BATH TUB @ O 50 CITY TEL N 0
SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 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 SIGNATURE OF ( � �„ ry^��� p
WATER HEATER Q O 50 PERMITTEE Vl lJ1 )�.
SLOP SINK @ O 50 I INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN @ O 50
URINAL Q O SO
J
HOUSESEWER @ O 50 Q
Z
MISCELLANEOUS (�
O
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING /-f
GAS PIPING �n n
�v-
GAS VENT /
CESSPOOL Q 1 00 I CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00I SEWER /
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ �"(� FINAL �z Z ,