HomeMy Public PortalAbout5703ALESSANDRO AVE_Plumbing (3) DEPARTMENT OF COUNTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY j PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING D 2 ���//
WILLIAM J FOX, COUNTY ENGINEER ADDRESS J C/'✓r� /
FOR APPLICANT TO FILL IN } LOCALITY
BUILDING } NEAREST ����_
ADDRESS �Q 3 �J, �jeSS'G1�✓t,/rQ CROSS ST /fv'1er ,t�� _,/L-�
r� �i ��c� DISTRICT N� GROUP ZONE PERMIT NO
LOCALITY �p_�yy�/7�P -S ��G
NEAREST
CROSS ST /9(J� RECEIVED BY Ready for Inspection DATE ISSUED
OWNER Ca/CrYjC/ y//'7��n__� ,'L V AAM" ` —'
MAIL INDUSTRIAL
ADDRESSWASTE APPROVAL
CITY 15„/2/1-77 �_ TEL NO / INSPECTION RECORD
PLUMBER
ADDRESS
CITYr•!!� / TEL NO
Q STA E
LICENSE NO l/ ! ❑COUNT) J
PE MIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE Vr
WATER CLOSET(TOILET) @ 080 S
O -
BATH TUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) @ 080
KITCHEN SINK Col 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 080
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HFATER @ 1 00
MISCELLANEOUS
oca —SOL APPROVALS
DATE INSPECTOR 8 SIGNATURE
✓ UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE Q d GAS PIPING
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
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
I 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 - FINAL :5—/
76A667 DBS 17 1/53 v