HomeMy Public PortalAbout5531ALESSANDRO AVE_Plumbing %" I PLUMBING 1
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
'a COUNTY OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENGINEER ADDRESS .` 'es wn_ Cn
FOR APPLICANT TO FILL IN LOCALITY , C
BUILDING CROSS ST
ADDRESS �� Al,
DISTRICT NO GR UP rrrZ--OfffNC PERMIT NO
LOCALITY r?
NEAREST ' V
CROSS ST �_�ry�C�k RECEIVED BYyr Ready for Inspection DATE^IISSUED
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MAIL ----�fff`--�--- INDUSTRIAL
-ADDRESSiWASTE APPROVAL
CITY TEL NO INSPECTION RECORD
ADDRESS
CITY r is, TEL NO
STATE
I ICENSE NO 422/'F3 n COUNTY J
PERMIT FEES i
V_MNER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 080 $ D'
O
BATHTUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) @ 080
KITCHEN SINK @ 080
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 100
MISCELLANEOUS
vv 100 APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE /Z 0o GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI 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 ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE DESC ED ENT AL OPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
76A667 DBS 17 1/6
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