HomeMy Public PortalAbout4923ALESSANDRO AVE_Plumbing 76A667 17 6 48® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
,.oFORRrJ APPLICANT TO FILL IN DISTRICT NO GROUP ZONE gPERMIT NO
PLUMBER ` �� •
� RECEIVED BY READY FOR DATE ISSUED
a ,� FIRST INSPECTION
ADDRESS l��v�yg6�.,,cf.
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CITY �COUNTYG�" TEL NO P �rs_j � p ADDRESS 1�•^
-LICENSE NO / Y �/.7 d ,(^ v LOCALITY
EXPIRES
NEAREST
PERM FEES CROSS$T
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
�
s J D
WATER CLOSET (TOILET) Q O 50 $ d 40 MAILADDRESS
BATH TUB @ O 50 6_40 CIS �..G2,47/L.Li TEL NO
SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 J_v APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
I KITCHEN SINK @ O 50 y�� 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
J
GAS SYSTEM OF THE RESIDENTIALI //�Y,�PJROP ,R,TY%,DESCRISED ABOVE.
OUTLETS @ O 50 gIGNATURE OF G V ' ,,� �,
WATER HEATER @ O 50 .5-0 PERMITTEE v' /
SLOP SINK @ O so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50 3,9
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
URINAL Q O 5o J
HOUSESEWER @ O 50 Q
Z
MIS EL ANEOUS
APPROVALS /
DATE ,INSPECTOR 6 NAME
ROUGH PLUMBING /
GAS PIPING
GAS VENT IIV
4-
CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 I SEWER
PERMIT 1 OO GAS TEST ,
UTILITY CO NOTIFIED / A
TOTAL FEE $ / �..►� �� r /l I
FINAL f Z