HomeMy Public PortalAbout5019ALESSANDRO AVE_Plumbing 76A867 17 1:49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
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PLUMBER RECEIVED READY FOR DATEISSUED
ADDRESS lD/ Q �C e�ls� � IW Q �� FIRST INSPECTION
BUILDING
CITY Tl TEL NOC:;'ll P`S'Y/'f ADDRESSCOUNTY
LICENSE NO / Y EXPIRES dh?* 4`-,.- LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
WATER CLOSET (TOILET) @ 0 50 $ S ® MAIL
o ADDRESS 3
BATH TUB r O 50 G lf
CITY ' o- TEL NO*_�v
SHOWER Q 0 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 .SSG APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
_ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 .5 G
STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM_l__OUTLETS O 50
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Q `S G
SIGNATURE OF�, e o
WATER HEATER Q O 50 .S�v PERMITTE Ac
SLOPSINK Q O 50 INSPECTION RECORD
FLOOR SINK @ O 50 y
FLOOR DRAIN O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN Q O 50
URINAL a O 50
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HOUSESEWER Q O SOI a
Z
MISCELLANEOUS 6
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING /
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL `y
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT I 1 00 GAS TEST
UTILITY co NOTIFIED
TOTAL FEE $ ,2
FINAL i