HomeMy Public PortalAbout5703ALESSANDRO AVE_Plumbing p DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING 'e� a
WILLIAM J FOX COUNTY ENGINEER ADDRESS :/ -2
FOR APPLICANT TO FILL IN MMM LOCALITY
NEARESTBUILDING
ADDRESS ���c� � ��,,�'�^,��iL.Jd?I��' CROSS ST
LOCALITY _! C DISTRICT GROUP ONE ,.,PERMIT No 0
NEAREST S IIJ (/o
CROSS ST /ova - 4:::2.A-t-<, RECEIVED/BY Ready for Inspection _DATE ISSUED
A
OWNER � P (�!!� � 5 — j I—S-414
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
UMBER— :;F—,4%,4 L.1 !�O'64- �O
ADDRESS SGv�7/ 1,
CITY TEL NO
0 STATE
LICENSE NO ❑COUNTI J
PERMIT FEES a
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NUMBER TYPE OF FIXTURE OR ITEM FEE (�
WATER CLOSET(TOILET) @ 080 $
O
BATH TUB @ 0 80
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 100
I MISCELLANEOUS
S�,, �� 170 APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE Z_ GD 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 I AM THE_LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE t �/ -- `/ L/a...r i
FINAL Q gy
76A667 DBS 17 1/53