HomeMy Public PortalAbout5031ALESSANDRO AVE_Plumbing 76A667 n s+a9 @ APPLICATION FOR PERMIT
DEMATMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
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PLUMBER RECEIVED BY READY FOR DATE ISSUED
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ADDRESS V (/!" -'� � !V� �
BUILDING
CITY TEL NO ADDRESS S
COUNTY
LICENSE NO / 0 EXPIRES LOCALITY
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NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNERMAIL
VC
WATER CLOSET (TOILET) O 50 rO ADDRESS 3
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BATH TUB Q O 50 S�� CITYTEL NO"
SHOWER O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 ,spa 'APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 ��f� STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
I GAS SYSTEM OUTLETS Q O 50 S-O OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
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URE OF el 6 �
WATER HEATER Q O 50 SSU SIGNPERMITTE 1 - Ll
SLOP SINK @ O so INSPECTION RECORD
FLOOR SINK @ O 50 3 A
FLOOR DRAIN Q O 5o
DISHWASHER @ 0 50
DRINKING FOUNTAIN @ O s0
URINAL Q O SO „J
HOUSE SEWER @ O 50 I Q
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MISCELLANEOUS U'
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APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING / _/
GAS PIPING
b,
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( @ 1 001 1 SEWER
PERMIT I 1 00 GAS TEST
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TOTAL FEE $
UTILITY CO NOTIFIED
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- / FINAL
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