HomeMy Public PortalAbout5020ALESSANDRO AVE_Plumbing 7GA887 n s as® APPLICATION FOR PERMIT
t k DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER PLUMBING 1
I FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER ,
• & -;��C� RECEIVED READY FOR DATE ISSU E D
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ADDRESS / ��• -�„ Q FIRST INS�PECTI/ON..� —� /
—1 BUILDING
CITY TEL NO" b If �" �9"� ADDRESSCOUNTY
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LICENSE NO PTA EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 $ ADDRESS
BATH TUB Q O 50 CITY r+R,� L/s TEL NO
SHOWER n O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 e-� f;� 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O So ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIALROP RTY DDESC�RII ED ABO
GAS SYSTEM OUTLETS Q O 50 SIGNATURE OF
WATER HEATER Q O 50 aP� PERMITTE •`
SLOP SINK Q o Sol I INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN Q O 50
URINAL Q O 50
J
HOUSESEWER Q O 50 <
Z
MISCELLANEOUS (�
°bV I C0 o
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL v
SCPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER J
PERMIT 1 00 GAS TEST A „f
UTILITY CO NOTIFIED
TOTAL FEE $ p
c7 F9 FINAL d'I