HomeMy Public PortalAbout4905ALESSANDRO AVE_Plumbing 76AG67 17 a 49® APPLICATION FOR PERMIT ✓
. DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER UG G �+ p RECEIVED BY READY FOR FIRST INSPECTION DAT ISSUED
ADDRESS ��/ � � eel-�.r`��_ti Q A-/
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,+ Y�aF BUILDING
CITY LJC, TEL NO ADDRESS
COUNTY //�� LOCALITY
LICENSE NO � 9 y EXPIRES In - .3 O-J
N EAR EST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ ADDRESS O A Dv
BATHTUB @ O 50 CITY 01inn TEL NOh O 10 P
SHOWER Q O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM n!� OUTLETS @ O 50
SIGNATURE OFI� Q/ '�j�Y.
WATER HEATER @ O 50 PERMITTEE \t` \p
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 501
DRINKING FOUNTAIN Q O 50
URINAL Q O 50
J
1 HOUSESEWER @ O 501 a
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MISCELLANEOUS a'
1 O
1
1
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
1 /
GAS PIPING //v,r
1 1 GAS VENT
CESSPOOL Q 1 00 CESSPOOL
1 SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 O0 GAS TEST
TOTAL FEE I $ UTILITY CO NOTIFIED
/ yo FINAL �I ,1