HomeMy Public PortalAbout4935ALESSANDRO AVE_Plumbing 76A667 t7 6 49® APPLICATION FOR PERMIT
`DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER RECEIVED BY READY FOR DATE ISSUED
/ FIRST INSPECTION �t E
ADDRESS I V — �r�j� ���//♦ G U� G `e7
CITY TEL NO `"' BUILDING
CITY O BADDRESS
UILDING
COUNTY
LICENSE NO 0 y EXPIRES `'r LOCALITY
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL , �.
WATER CLOSET (TOILET) Q O 50 $ .-p ADDRESS
BATH TUB O 5o y' CITY TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 ,;,5^Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 Q STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEM-2—OUTLETS @ O 50
OF THE RESIDENTIAL
/►PROPERTY DESCRIBED ABOVE.
��d SIGNATURE OF-/t'
WATER HEATER @ O 50 y V PERMITTEE f ,1 , c>•'�1►Sg
SLOP SINK @ o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER Q O So
DRINKING FOUNTAIN @ O 50
URINAL @ O 50
J
HOUSESEWER @ O 50 Q
Z
MISCELLANEOUS
es'v o
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING /1
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK �—
DRAIN ( ) PIT ( @ 1 00 1 SEWER
PERMIT 1 00 GAS TEST / /I
TOTAL FEE $
UTILITY CO NOTIFIED
I
�� FINAL