HomeMy Public PortalAbout5951ALESSANDRO AVE_Plumbing (2) 76A607 » 5 BO 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLU
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
PLUMBER RECEIVED BY READY FOR
1 1� i �ti1 DATEISSUED
FIRST INSPECTION
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ADDRESS
BUILDING
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CITY n[^,k ,I , TEL NO(� j/,{J ADDRESS
CENSE NO 1 ,7 p /Y 1 EXPIRES (� 7'+ `�pl I�COUNTY LOCALITY
L
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
I_ WATER CLOSET (TOILET) @ O 50 I$ I ADDRESS
BATH TUB @ O 50 I� CITY TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 I CERTIFY TH4T I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL OPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O 50 SIGNATURE OF
WATER HEATER @ O 50I S� PERMITTEE
SLOP SINK @ o Sol� INSPECTION REC RD
FLOOR SINK Q O 50 I
FLOOR DRAIN Q O Sol
DISHWASHER @ o Sol
IDRINKING FOUNTAIN @ O 501
URINAL 0 O SOI I „J
HOUSESEWER @ O 50I I Z
MISCELLANEOUS I (9
O
(
I(
I IJ
I
APPROVALS
DATE INSPECTORS NAME
I ROUGH PLUMBING
GAS PIPING
GAS VENT I
CESSPOOL @ 000 ( CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 I SEWER I }{
PERMIT L 1 on GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $
J FINAL k'