HomeMy Public PortalAbout5008ALESSANDRO AVE_Plumbing 76AS67 17 5 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
i COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER L �' � RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS �� /
y /,p BUILDING
CITY TEL N� I ADDRESS
COUNTY / �. �/ LOCALITY , D
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS STS
NUMBER TYPE OF FIXTURE OR ITEM FEEOWNER �r
MAIL
WATER CLOSET (TOILET) O 50 S JT V ADDRESS
BATH TUB O so CITY TEL NO �9AND SHOWER O s0 I HEREBY ACKNOWLEDGE THAT 1 HAVE REA
LAVATORY (WASH BASIN) @ O 50 „�O APPLICATION AND STATE THAT THE ABOVE IS CORRE
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
j,� STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 S 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM y
OUTLETS @ O 50 C
SIGNATURE OF
WATER HEATER @ O sO �O PERMITTEE
s
SLOP SINK @ O so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 ,J
HOUSE SEWER @ O 50 Q
Z
MI CEL NEOUS
APPROVALS
}DATE INSPECTOR S NAME
ROUGH PLUMBING !! A�
II GAS PIPING A &, 'r e
GAS VENT
CESSPOOL @ 1 00 CESSPOOL v
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED A n .—.r
TOTAL FEE $
J FINAL it