HomeMy Public PortalAbout4917ALESSANDRO AVE_Plumbing (3) PLUMBING 1
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
WILLIAM 7 1 ay WILLIAM J FOX, COUNTY ENDINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY _
BUILDING �/ �/CJ�tK� NEAREST 7_0&_.may
ADDRESS CROSS ST aS/ /�G� cJ
y� • r ` DISTRI GR / � MIT NO
LOCALITY ✓ �� C
NEAREST
CROSS ST ( U RECE VED Y Ready for InsDactlon DATE SSUED
OWNER
AMAIL
DDRESS " INDUSTRIAL
WASTE APPROVAL
CITY ' psyt�t.,�t,f��/I 6FL NO eV 7/7 vj INSPECTION RECORD
PLUMBER
ADDRESS
CITY TEL NO
[]STATE
LICENSE NO O COUNTI
J
PERMIT FEES z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 080 $ ` D
O
BATH TUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HFATER ('D 1 00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT ; 1 00 ROUGH PLUMBING L S>o
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LI GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES [-n
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDENTI L PROP E TYj/ UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
76A667 DBS 17 1/53