HomeMy Public PortalAbout4926ALESSANDRO AVE_Plumbing 76n8E7 n a 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO )
!y
O PLUMBER e1 ' � � �'$ ''t'V RECD BY READY FOR DA EISSUED
/
ADDRESS � FIRST INSPECTION `7 -6,
`' "'�� �t
CITY �/L. TEL NO 54-/,� [6 BUILDING
ADDRESSCOUNTY
7
LICENSE NO A EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 I SJ o�H ADDRESS v �� ?,14-41
y
BATH TUB @ O 50 I Joe CITY � � TEL NO / ,1 4-41
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1_LAVATORY (WASH BASIN) @ OLAVATORY (WASH BASIN) @ 0 50� '�A APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
1 CCRTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEMOUTLETS Q O 501
OF THE RESIDENTIAL P DESCRIBED ABOVE
,o SIGNATURE
WATER HEATER Q O 101 1ei a PERMITTEE R
SLOP SINK @ O Sol I INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 50
DISHWASHER (o O 501
DRINKING FOUNTAIN Q O 50
URINAL @ O 501 J
1 HOUSESEWER Q O 501 I— Q
MISCELLANEOU �1 (�
1�
1�
1
1 APPROVALS
1 DATE ,-'INSPECTORS NAME
ROUGH PLUMBING / 8, "-"/)
GAS PIPING �fn yJ� fJ'
1 GPS bLNT I �/
CESSPOOL Q 1 001 CESSPOOL
LSEPTIC TANK 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT I 1 00 GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED A 1,17
$ � y
.s FINAL WV,Jt I2(�
Z