HomeMy Public PortalAbout5025ALESSANDRO AVE_Plumbing 4
78"68' 17 F,49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
�QI COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
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FOR APPLICANT
APPLICANT TO FILL
LIIINJ I- DISTRICT,NO GROUP I ZONE PERMIT NO
PLUMBER �1
1 - '"t✓� , RECEIVED BY READY FOR DAT EIS UED�
FIRST INSPECTION
ADDRESS
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CITY � "� TEL NO"��d �J 7 BUILDING JIP� y�
ADDRESS "777-
711
COUNTY s L CENSE NO Y EXPIRES ,�p LOCALITY
NEAREST
PERMIT FEES CROSSST
y�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 $ 115,0 ADDRESS
BATH TUB Q O 50 e3�D CITY TEL NO
SHOWER O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 �B APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
_ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 „S Q STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50 V �t
�D SIGNATURE OF�1 pyL I
WATER HEATER Q O 50 PERMITTEE
SLOP SINK @ O 50 INSPECTION RECORD
T
FLOOR SINK @ 0 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN Q O 50
URINAL @ O 50 ,J
HOUSESEWER @ O 50 Q
Z
MISCE6AANEOUS 3
O
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT I 1 00 GAS TEST y� /
TOTAL FEE
UTILITY CO NOTIFIED
� r
'S 9 FINALS Z�,s
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