HomeMy Public PortalAbout4941ALESSANDRO AVE_Plumbing (3) `78"86' 17 a 490 APPLICATION FOR PERMIT
DEP�ttTMENT 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 "� I RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
_ADDRESS MY'r'C` �"c' fln�' " `15/
�s�,m� BUILDING /
CITY TEL NO�Q ADDRESS
COUNTY1 G� '�. L LOCALITY
LICENSE NO 6 L EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE �po�
OWNER LY
.r MAIL G 4—
WATER CLOSET (TOILET) Q O 50 $ ✓ v ADD RESS
Q� �.�, � �7
BATHTUB @ O 50 ` CITY 42-t� , TEL NO , / S
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
lLAVATORY (WASH BASIN) Q 0 50 b APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0 50 `}^� STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
�j OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM—Z.OUTLETS @ O 50 Sd gIGNATURE OF/ Iff &oe4- y e- p,4-.
WATER HEATER Q O 50 .`� U PERMITTE
E`-
SLOP SINK @ o so INSPECTION RECORD
FLOORSINK @ O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN Q O 50 l
URINAL Q O 50
J
HOUSESEWER @ O sol Q
Z
MISCE UANEOUS 0
5-0 0
l
l APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
l f
GAS VENT 7
CESSPOOL @ 1 00l CESSPOOL
SEPTIC TANK l SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST /� l
TOTAL FEE $ Lf UTILITY CO NOTIFIED
�V FINALIl
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