HomeMy Public PortalAbout4942ALESSANDRO AVE_Plumbing 75A667 1' s 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
r COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO
PLUMBER '�' �''o`P'� a Lei RECEIVED BY READY FOR DATE ISSUED
ADDRESS / I � ��{�'�-� FIRST INSPECTION
�D �qy�., g �o�,/ �/ v
CITY K TEL Nodb (T d '/ /? BUILDING /& // U See
ADDRESS V 7
COUNTY
LICENSE NO Toy EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
,�1 MAIL
WATER CLOSET (TOILET) @ O 50 $ r�PE/ ADDRESS
BATH TUB @ O 50 �$�Ap CITY �� TEL NO d
SHOWER O 501 HER ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 ��� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 ,� STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
® OF THE RESIDENTIAL PROPERTY D SCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50a �p SIGNATURE OF & �_�//y�.
WATER HEATER @ O 50 d1 �' PERMITTED` e �- -�"'I
SLOP SINK @ O So INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O SO
DRINKING FOUNTAIN @ O 50
URINAL @ O 50
J
HOUSESEWER Q O 50 Q
Z
Mlr�,CELLANEOUS 0
APPROVALS
DATE INSPECTOR S NAME
/i
ROUGH PLUMBING f�
GAS PIPING n
GAS VENT
CESSPOOL Q 1 00 CESSPOOL /
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED 5
TOTAL FEE $
I�� FINAL
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