HomeMy Public PortalAbout5836ALESSANDRO AVE_Plumbing (2) 76A667 n 5 49 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT NO ZONE PERMIT NO!
PLUMBER ..I21iK.1�' RECEIVED B READY FOR DATE ISSUED
FIRS INSPECTIO v
_ADDRESS
NSy / BUILDING
CITY /�t,.w fGC.F/jyL�(/ TEL NO ADDRESS �f
COUNTY d!) IIe4 LOCALITY
LICENSE NO / ( EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 ADDRESS
BATHTUB @ O 50 CITY TEL NO
SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY ABpyg,
GAS SYSTEM OUTLETS @ O 50 SIGNATURE OP�e //ff(/jj//'rj/
WATER HEATER Q O 50 PERMITTE -� _��
SLOP SINK Q O 50 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN @ O 50
URINAL Q O 50
HOUSESEWER O 50 d r Z
MISCELLANEOUS
0
APPROVALS
DATE INSPECTOR 9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
l
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ V
FINAL j/I, * I ��