HomeMy Public PortalAbout5002ALESSANDRO AVE_Plumbing (2) 76AG67 n S 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
�� COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUPZONE PERMIT NO
PLUMBER �1 • fe4J "''•ZOa• RECEIVED BY READY FOR O E73�SUE/
ADDRESS 16 �^p 4� FIRST INSPECTION a���/ry
CITY e TEL NO �" 0 ADDRESS ` X U,9 / J-0
COUNTY LOCALITY X410 CO �
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST /
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER � I" I
WATER CLOSET (TOILET) @ O 50 $ .i� MAIL 0 ) ,��'
ADDRESS /7 ,ter q
BATH TUB @ O 50 s C7 CITY �� TEL NO
SHOWER c O 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
L LAVATORY WASH BASIN) @ O 50 �® APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 �G STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSEOR I AM THE LEGAL OWNER
@ �� OF THE RESIDENTIAL PRO�{PP��9J QR tTY DESCRIBED ROVE.
GAS SYSTEM-1--OUTLETS O 50
WATER HEATER @ O 50 .�P SIGNTURE PAERMI'ITE�1�
SLOP SINK @ 0 50INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O 50
J
HOUSESEWER @ O 50 Q
Z
MISCELL EOUS (�
s'�y o
APPROVALS
DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAS PIPING /,`n A ✓/ i'A
r�
GAS VENT
CESSPOOL @ 1 00 CESSPOOL (/
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( @ 1 OOI SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEEI $ v
.rO FINAL / ��