HomeMy Public PortalAbout5048ALESSANDRO AVE_Plumbing A667 n s a9® APPLICATION FOR PERMIT
r DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP I ZONE PERMIT NO
PLUMBER(f-I � � RECEIVED BY READY FOR DATE ISSUED
L I FIRST INSPECTION I
ADDRESS 1 /V � 6 "" "
CITY TEL NOa ADDRESSBUILDING D / V
COUNTY .?D J-7i LOCALITY
LICENSE NO ► 9 3' EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER C
MAIL
WATER CLOSET (TOILET) @ O 50 $ I .-O ADDRESS
I BATHTUB Q O 50 `, t,i CITY TEL NO
SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
/ LAVATORY (WASH BASIN) @ O 50 JAG APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 �}V STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSEi ORR.I AM
THE LEGAL OWNER
_ OF THE RESIDENTIA�ROPERTMDESCRIBED
GAS SYSTEM OUTLETS Q O 50 's SIGNATURE OF t�,
WATER HEATER Q O 50 rS"O PERMITTE
SLOP SINK Q O so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN Q O 50
DISHWASHER @ O 5o
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 J
HOUSESEWER @ O 50 Q
Z
MISCEL ANEOUS U'
0
i
APPROVALS
DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
v
CESSPG L @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST n /
TOTAL FEE $ UTILITY CO NOTIFIED A A
FINAL b /
V