HomeMy Public PortalAbout5030ALESSANDRO AVE_Plumbing 7SA667 n 5 49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTT_NO GROUP ZONE PERMIT NO--77
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PLUMBER I ® 4� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 6 �� m�I �" BUILDING e,
CITY TEL NOCe% O `� y�a.
ADDRESS f�
COUNTY // LOCALITY etp Q
LICENSE NO L EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
® MAIL
` WATER CLOSET (TOILET) @ O 50 $ ��°L7 ADDRESS
BATH TUB @ O 50 .✓ d CITYTEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY '" APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
WASH BASIN) @ O 50 .S D AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ 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 SYSTEMOUTLETS @ O 50 v SIGNATURE OF el
WATER HEATER @ O s0 c� PERMITTEE f
SLOP SINK Q o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O so
DRINKING FOUNTAIN Q O s0
URINAL Q O So .J
HOUSESEWER Q O s0 Q
Z
M I$,,CELLANEOvS (�
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING / f/
g GAS PIPING /4 ✓I
GAS VENT
/ 1
CESSPOOL @ 1 00 CESSPOOL v
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( @ 1 00 SEWER
1
PERMIT 1 00 GAS TEST p /
TOTAL FEE $
UTILITY CO NOTIFIED
I �s� l
FINAL / �J