Loading...
HomeMy Public PortalAbout5049ALESSANDRO AVE_Plumbing P v 76ASS7 n S 49® APPLICATION FOR PERNIIT ISEPARTMENT OF BUILDING AND SAFETY ��OUR1 COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER INI FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO PLUMBER -- RECEIVED BY READY FOR DATE ISSUED � l ' \lV" v FIRST INSPECTION ADDRESS / � / ,p BUILDING �O CITY � TEL NO�©/, �b1 � /� ADDRESS COUNTY J 0 v b ,�0 ,�-L LOCALITY LICENSE NO / EXPIRES NEAREST PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER -" MAIL WATER CLOSET (TOILET) O 50 $ n o ADDRESS BATH TUB Q O 50 `r0 CITY a-z_ , TEL N04�67, ��•i �� SHOWER O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 1 LAVATORY (WASH BASIN) Q O 50 .5 O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 �} O STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS Q O 50 `� SIGNATURE OF {, Aa�✓yLy� I WATER HEATER Q O 50 5r(? PERMITTEE SLOP SINK Q o Sol INSPECTION RECORD FLOOR SINK Q O 50 a1 FLOOR DRAIN Q O 50 DISHWASHER Q O 50 DRINKING FOUNTAIN Q O 50 URINAL @ 0 50 HOUSESEWER O 50 Z MISCEL ANEOUS (� / C, �v APPROVALS DATE INSPECTOR S NAME ROUGH PLUMBING / GAS PIPING GAS VENT Ply CESSPOOL Q 1 00 I CESSPOOL SEPTIC TANK I SEPTIC TANK DRAIN ( ) PIT ( ) Q 1 00 SEWER PERMIT 1 00 GAS TEST UTILITY CO NOTIFIED p l TOTAL FEE $ !f 3 0 �1 FINAL V