HomeMy Public PortalAbout5013ALESSANDRO AVE_Plumbing (2) 76A567 17 B 49® APPLICATION FOR PERNUT
DEPARTMENT OF BUILDING AND SAFETY ��� �'
COUNTY OF LOS ANGELES N %0076
1 WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TOS+FILL
�IN DISTRICT
NO GROUP I ZONE mPE,RMITTNO�
PLUMBER �1 ��`°""L / RECEIVED BY READY FOR �DATE ISISSUED
f� FIRST INSPECTION
ADDRESSBUILDING
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T4el
CITY Ire TEL TEL NOC�70 ADDRESS
COUNTY 1 Y ��D/4f�7/ LOCALITY
LICENSE NO ! EXPIRES
NEAREST
PERM FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /
MAIL
WATER CLOSET (TOILET) Q O 50 $ ADDRESS/�,y�,, �J
BATH TUB Q O 5o O CITY " —�"^" 96 TEL NO 4
SHOWER Q O SO I HEREBY ACKNOWLEDGE THAT 1 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 .S a STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O So ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
.�^ OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50 v b SIGNATURE OF �I � ��"..{,+
WATER HEATER Q O 50 y o PERMITTEE
SLOP SINK Q o So INSPECTION RECORD
FLOOR SINK Q O 50 Or j
FLOOR DRAIN Q O 50
DISHWASHER Q O SO
DRINKING FOUNTAIN Q O 50
URINAL Q o 50
J
HOUSE SEWER Q O 50 Q
Z
MISCELLANEOUS 0
O
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING / �'
GAS PIPING �l.�Vol-lo
GAS VENT
CESSPOOL Q 1 00l CESSPOOL v
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( Q 1 00 SEWER
PERMIT 1 O0 GAS TEST
/n �y
TOTAL FEE $ UTILITY CO NOTIFIED
�I d�0 �°-
FINAL / LP"' A