HomeMy Public PortalAbout5708 AGNES AVE_Plumbing_9/8/1956 D.B. 17 25M SETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
LuhROUGH FIXTURES COMPLETE
HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME jy{ / ADDRESS D• ^R� --�
ADDRESS S l j �•CP ( ti ����r LOCALITY
7 NEAREST
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COUNTY
CERT.No. EXPIRES �� - �' NAME
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LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY ~- TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
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PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N �
3 OWNER
CORRECTIONS
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SOUTH
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DESCRIPTION OF WORK a
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BATH TUB FURNACE
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
-WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER-ILGAS SODA FOUNTAIN GAS PIPING
oun
GAS VENT I I
_CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI AEPTICTANK SEWER
$
TOTAL FEE UTILITY CO.NOTIFIED
FINAL
L - J