HomeMy Public PortalAbout5037ALESSANDRO AVE_Plumbing 76A667 y S 49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
,-f COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO TO FILLJIN DISTRICT NO GROUP ZONE y`P�pERMITNO
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PLUMBER �� •1�
•�C✓l, FIRST INSPECTION A
ADDRESSy�O� �S�y1y�J � G�iR' �'I '7 /-J'
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CITY `�� / TEL NO �� ��/ ADDREBUILDSS
COUNTY / O v !D/✓ G �.y LOCALITY
LICENSE NO ! EXPIRES
NEAREST
PERMIT FEES CROSS ST ry
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 slop ADDRESS
��
BATHTUB @ O 50 $10 CIN TEL NO `f
SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
A APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASINS Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 3'V I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEM OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OUTLETS @ O 50 's'� SIGNATURE OFe� ff 0j4Z'�
WATER HEATER Q O 50 5-& PERMITTED
SLOP SINK Q o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 50
DISHWASHER @ 0 50
DRINKING FOUNTAIN O 50
URINAL O 50 J
HOUSE SEWER @ O 50 a
Z
MISCE LeAN EOU3 (�
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
y �r
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
TOTAL FEE I $ 4/Ic�G UTILITY co NOTIFIED
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