HomeMy Public PortalAbout4917ALESSANDRO AVE_Plumbing 76AS67 17 s 49 ® APPLICATION FOR PERMIT
DEPARtMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL INTDTRICT NO GROUP I ZONE PERMIT NO
PLUMBER �I' 10EIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION Hyl-/k
BUILDING
CITY "'`- C- TEL NO A`DDRESS �`
L CENSEUNTY NO / Y EXPIRES �/ /� LOCALITY
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERvMAIL
WATER CLOSET (TOILET) @ O 50 $ J V ADDRESS
BATH TUB Q O 50 d CITY'"""'"`
TEL NO
SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 J'O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 .ro STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O 50 ''� p SIGNATURE ORo 1 -� �C� Q-g,.&-I
WATER HEATER Q O 5o 0 PERMITTEE �-/�K
SLOP SINK Q O 5o INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN Q O 50
URINAL Q O 50
J
HOUSE SEWER @ O 50 I Q
Z
MISCELLANEO S 0
1
APPROVALS
DATE INSPECTOR 3 NAME
ROUGH PLUMBING
GAS PIPING �� 1
GAS VENT ,
CESSPOOL @ 1 OOI CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 OO GAS TEST
TOTAL FEE $ UTILITY CO NOTIFIEDi
u
/ I"y FINAL � y ,
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