HomeMy Public PortalAbout9031 ACASO DR_Plumbing_9/21/1947_88384 D B 9.17 25M BETH 113-47i° APPLICATION FOR PEB�[IT '
EPARTME�� OF LOS ANGELES BUILDING AND S�� r ' PLUMBING7
a WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION 018TR1 PERIM No.
ROUGH FIXTURES COMPLETB
8c5.38
HEATER CESSPOOL —I SEPTIC TANK READY FOR
® FIRST INSPECTION DATE ISSU
AS _— MISCELLANE UB r
APPPLI/CANT FILL IN HEAVILY OUTLINEDD PORTION ONLY
JOBE NAME / �/�( ADDRESS /46
B ADDRESS LOCALITY
S
J NEAREST
L CITY TEL No. CROSS ST. -
COUNTY
CERT No EXPIRES NAME
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 COUN.CERTIFICATE OF QUALIFICATION.
' PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH J
DESCRIP,TIONfiF WORK z
BATH TUB FURNACE 5
HOW ER D ISH WASHER G
`LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_..WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 6 NAME
WATER HEATER -DENTAL LAVATORY ROUGH PLUMBING I I
METER_J GAS aODA FOUNTAIN
OUn GAS PIPING
GAS VENT I
O ® CESSPOOL I -
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL- _ SEPTIC TANK SEWER I
$
TOTAL FEE UTILITY CO NOTIFIED
�
FINAL