HomeMy Public PortalAbout5026ALESSANDRO AVE_Plumbing 7SA667 n S 49® APPLICATION FOR PERMIT
DEMARTMENT OF BUILDING AND SAFETY
16 COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TOFILLIN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBERel . G1 �l RECE16VED BY READY FOR DA E ISSUED
ADDRESS D v G Y! Z �- FIRST INSPECTIONBUILDING
CITY K TEL NO :;6 v 7 ADDRESSCOUN
L CENSE NO b �' EXPIRES LOCALITY tl
NEAREST
PERMIT FEES CROSS ST
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NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
�ir MAIL 3 ��
WATER CLOSET (TOILET) Q O 50 $ b? o ADDRESS
BATHTUB O 50 a-ci CITY ,>r TEL N004 74?J '11
SHOWER O 50 1 HEREBY ACKNOWLEDGE THAT 1 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
KITCHEN SINK @ O 50 (� STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
qq lam, OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM_J_OUTLET3 @ O 50 d � �i �
SIGNATURE OF e •.J-F" �,1
WATER HEATER @ O 50 k,�Ie� PERMITTEE ` y /Ff"e.
SLOPSINK @ O so INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
URINAL Q O 50
J
HOUSE SEWER @ O so Q
z
MISCELL NEOUS („)'
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
} GAS PIPING
GAS VENT / r�
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER J
PERMIT 1 O0 GAS TEST /
UTILITY CO NOTIFIED A ®I
TOTAL FEE Is t�'f! j a
FINAL
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