HomeMy Public PortalAbout5014ALESSANDRO AVE_Plumbing A
76A667 n 5490 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUPI ZONE PERMIT
NO
PLUMBER eoI a° RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
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CITY I/t '' TEL NO� BUILDING Iv / G17��
�5 ADDRESS 7
COUNTY
LICENSE NO ! LOCALITY ® �
EXPIRES
NEAREST
PERMIT FEES CROSSST
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER {J'��✓�'^�R '
MAIL
WATER CLOSET (TOILET) @ O 50 $ ® ADDRESS
BATH TUB O 50 O ij CITY �d TEL N �p
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 I 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 OUTLETS @ O 50 ,e�.P� SIGNATURE OF
WATER HEATER @ O 50 S-10 PERMITTED
SLOP SINK @ O 5o INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN O 50
URINAL Q O 50 ..I
HOUSESEWER @ O 50 Q
Z
MISCELLANEOUS (,
APPROVALS
DATE INSPECTOR S NAME
y~
ROUGH PLUMBING J „�
GAS PIPING n• ''/i2 �
GAS VENT �rf-
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK `
DRAIN ( ) PIT ( Q 1 00 SEWER
PERMIT 1 pp GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ ,�� 0� I y
FINAL `� p
7