HomeMy Public PortalAbout5042ALESSANDRO AVE_Plumbing 7SA667 n a 49 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
I "'WILLIAM J FOX CHIEF ENGINEER
�9FOR APPLICANT TO FILL,IN DISTRICT NO GROUP ZONE �PyERMIIIT NO
PLUMBER C. "� dd'�Gy �' `' • O C 3,76-2-s
rUE
RECEIVED BY READY FOR DATE ISSUED
�
,/d� FIRST INSPECTION
ADDRESNGS
CITY J TEL NO"� 7ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ CSJ ADDRESS g
BATH TUB O 50 �P� CITY q-
TEL NO
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 �V 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
f� OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50 V �o �� rg'�J� ,
� SIGNATURE OF"e- C9 6 r•{s,
WATER HEATER @ O 50 J"U PERMITTEE
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q 0 50
DISHWASHER O 50
DRINKING FOUNTAIN Q O 50
URINAL Q O 50
..I
HOUSE SEWER @ O 50 Q
Z
MISCELLANEOUS (�
oe
O
APPROVALS
DATE INSPECTOR S NAME
f
ROUGH PLUMBING
GAS PIPING � h
GAS VENT 'Vol
CESSPOOL Q 1 00 CESSPOOL U'
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT I 1 00 GAS TEST //7 �J jAe p
TOTAL FEE $
UTILITY CO NOTIFIED
��Z)
FINAL
V