HomeMy Public PortalAbout9042 ACASO DR_Plumbing_6/6/1946_14482 J D B S 47 25M SETS 12-45 r�
.,._DERARl?A. . _
NT OF BUILDING AND SAFEA" ' APPLICATION FOR PERbIIT
Q. COUNTY OF LOS ANGELES �L� �'��
Wm J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTR�NO GROUP ZONE lP/E1RMIIT� NO
ROUGH FIXTURES COMPLETE _ If:)
4ot I 7"T/' (�
HEATER CESSPOOL I—I SEPTIC TANK REC ED BY READY FOR ATE ISSUED
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�� STINSPECTION llp
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GAS MISCELLANEOUSjj& � �G(7
APPLICANTS FILL IN HEAVILY OUTLINED PORTION ONLYJOB t� /—
K NAME '7 ) <�/h/�C/civl ADDRESS (� / V
ADDRESS /Q/r�(,//I,o 4 / LOCALITY
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J sn�1 ��fJ�� �� ///� NEAR68T
S. CITY 0 6�l/'�(i(�C.TEL No /� y CROSSST FYI/1tJ[.�+1/IJC.pL
CERTCOUNNo / EXPIRES3-3 �1� / NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL = MAIL
ADDRESS
NORTH C (J ✓�
w CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OrQUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
i
CORRECTIONS/
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE (j
SHOWER DISHWASHER
VATORY REFRIGERATOR
_KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATEINSPECTTOO�R'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING II. I
I�ETER_GAS SODA FOUNTAIN GAS PIPING Ir 1I w. �Ir W_
OUTL
GAS VENT
_ CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
I IS
V UTILITY CO NOTIFIED
TOTAL FEE
FINAL