HomeMy Public PortalAbout4920ALESSANDRO AVE_Plumbing 7GA667 17 a 50 KD APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
r FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE- PERMIT NO
6— ®7 -37G—/`3
PLUMBER �� ��'¢' � "rel �'REEjCCEIIVED BY READY FOR DATE ISSUED
r b t �J G6� 4, d'� " 'G�IY.� FIRST INSPECTION — /
ADDRESS Vb:T�'i. v
BUILDICITY 'r�'�' 1� ADDRESS
TEL NO 0 �tr ��6' ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
A
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 $ J ADDRESS /� a
BATHTUB @ O 50 CITY + �
TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
"p APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O 50 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 O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEM
--!—OUTLETS
OUTLETS @ O 50 OF THE RESIDENTIAL O� YRIBE DESCRIBED
( �
SIGNATURE OF
WATER HEATER @ O 501 lr o PERMITTE I
SLOP SINK @ O 501 INSPECTION RECORD
FLOOR SINK @ O Sol
1 FLOOR DRAIN Q O Sol
1 DISHWASHER @ O 501
DRINKING FOUNTAIN @ O 501
1 URINAL 0) O $01
J
1 HOUSE SEWER Q O 501 L
Q
MISCELLANEOUS
ao.4,a i� g o
I�
I�
APPROVALS
DATE INSPECTOR 5 NAME
1 ROUGH PLUMBING
GAS PIPING l�I.eYJ`�" e 3
GAS VENT v( '
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK 1 SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 I SEWER
PERMIT I 1 00 GAS TEST
TOTAL FEE I $ i j
dW I UTILITY CO NOTIFIED
+I FINAL //�1'14�C'J� �I `I