HomeMy Public PortalAbout5522ALESSANDRO AVE_Plumbing DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING :2 '9
WILLIAM J FOX COUNTY ENQINEER ADDRESS ,�/ ► �s
FOR APPLICANT TO FILL IN LOCALITY / G�q/ j/�
BUILDING
NEAREST
ADDRESS �+� , C� ` CROSS ST 404"7„!/� y
�7
LOCALITY
DISTRICT NO GROUP NE PERMIT NO
NEAREST
CROSS ST — RECEIVE Y Ready for InaOeetlon DAT
OWNER
MAIL { ,J INDUSTRIAL 4
ADDRESS ✓ 1'i/�I®i+`f¢ WASTE APPROVAL
CITY NO INSPECTION RECORD
4F 14 r- LiKVAUWA-T V
PLUMBER
ADDRESS1 / 7 Se��svr� /S f1
�/ a--
CITYMff
TEtlO NO V
❑3797E
LICENSE N QCrpT�t r ATn.r�T•�r-pr�-��tr-�-r�.+���+�+-}�,.��� Ct]•E�U N TY
rCTP,LRMf 1 r LL!7 Z
.11)HBEf TYPE OF FIXTURE OR ITEM FEE ul
WATER CLOSET(TOILET) @ 080 $
O
BATH TUB @ 080
SHOWER @ 060 I Q'
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE ,L I-�o GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI r GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED/
AND/OR LICENSED AS REQUIRED BY LOS ANGELFS COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I.AM THE LEGAL OWN
ER OF THE ABOV DESCRIBED REST IAL ROPERTY UTILITY CO NOTIFIED
SIGNATURE J
OF PERMITTE _ �!ZL-
_
FINAL
76A667 DBS 17 1/53