HomeMy Public PortalAbout4908ALESSANDRO AVE_Plumbing 7BA667 n e Iso 4) APPLICATION FOR PERMIT )
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL INDISTR`ICT NO GROUP ZONE PEIT I;NO
` ®
7376 //
PLUMBER `r •F - RECEIVED BY READY FOR DATE ISSUED
�iFIRST INSPECTION
ADDRESS /� (� �$ c1:01 4�� )
' BUILDING �/ °
CITY 6�`�- "" TEL NO Cd`)9 7 ADDRESS /J
COUNTY
L CEN E NO D EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
WATER CLOSET (TOILET) @ O 50 $ ��0 MAIL
ADDRESS r 30
'
BATH TUB Q o SOI Ira CITY
TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
I I LAVATORY (WASH BASIN) @ O 50 J�fl APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 ® 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEM--J—OUTLETS Q O 501 OF THE RESIDENTIAL PROPERTY ESCRIBED ABOVE
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SIGNATURE OF -tr.,�.�
1 WATER HEATER Q O Sol w PERMITTE 1
SLOP SINK @ 0 5o 1 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O Sol
DISHWASHER @ O 501
DRINKING FOUNTAIN Q O 50
URINAL n O 50I I �j
HOUSE SEWER @ O 50 I Q
MI CEL ANEOUS 1 O'
Cti i� V O
I
I�
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
1 � Y
CAS PIPING
GAS VENT (�
CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 001 SEWER
PERMIT 1 O0 GAS TEST J I_
TOTAL FEE
UTILITY CO NOTIFIED
I $ �I t
V FINAL