HomeMy Public PortalAbout4902ALESSANDRO AVE_Plumbing (2) 7eA887 17 13 50 19 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUPI ZONE PERMIT NO
PLUMBER frl'
�""✓""'"'�"�- RECEIVED BY READY FOR O DATE ISSUED Q
FIRST INSPECTION '���/
ADDRESS , �• ''Ae"
BUILDING
CITY Ile,
�0 TEL NO S�H ADDRESS
COUNTY g LOCALITY
LICENSE NO (L EXPIRES
NEAREST
PERMIT FEES CROSS ST
' OWNER
NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL
�6y+
WATER CLOSET (TOILET) @ O 50 y ADDRESS v "' •
BATHTUB Q O 50I I `�'� CITY AS TEL No
SHOWER @ O 50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I S�Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
'gyp STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
a� OF THE RESIDENTIAL P OPE Y DE CRISEDyABB�/yOVVEE
GAS SYSTEM— —OUTLETS @ O 50 xolu e _ ".�""'
SIGNATURE OF
WATER HEATER @ 0 50 rU PERMITTEE
SLOP SINK @ o so I INSPECTION RECORD
FLOOR SINK Q O 501
FLOOR DRAIN @ O 50
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O SO 1
URINAL
1 HOUSESEWER @ O 501 1 Q
M/IISSCE LANEOUS ( I 0
V 1 o ker i� S Q 0
O
1 I
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
1 I GAS VENT
CESSPOOL Q 1 00 I CESSPOOL
1 SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED A
TOTAL FEE I $ LJ slo G
I / FINAL
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1