HomeMy Public PortalAbout9072 ACASO DR_Plumbing_10/20/1940_7477 v N�
"MESE '� APPLICATION FOR PERPHT
ENT OF BUILDING AND SAFETYRkCOUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION i DISTRICTN c1--ZONZPERMIT
ROUGH FIXTURES I�COMPLETE . Ai 7 I
HEATER CESSPOOL SEPTIC TANK RECEIV 13 READY FOR DATE Issuffst
PIRST INSPECTION
AS MISCELLANEOUS -GG �� T
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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I ADDR11801w 10-1111"a-k-2
Id
m ADDRESS LOCALITY
Z
D • - NEAREST
6 CITY I TEL No. CROSS ST.
COUNTY 1
CERT No EXPIRES NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL 'Z MAIL '
3. ADDRESS
NORTH - 0
CITY TEL.No
I AM THE LEGAL POSSESSOR OP THE ABOVE LOS
ANGELES ERTIFI AT6 OF QUALIFICATION.
� PLYMEER
I AM THE LEGAL OWNER'OF?NE PROPERTY DESCRIBED
ABOVE:
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
ATH TUB FURNACE V'
R'
MOWER DISHWASHER
.LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
LWA
H TRAY URINAL APPROVALS
ER CLOSET DRINKING FOUNTAIN DATE INSPOCTOW9 NAME
ER HEATER DENTAL LAVATORY ROUGH PLUMBING
ER nA8 SADA FOUNTAIN I I
OUTL GAS PIPING
GAS VENT I/ �j
CESSPOOL { O�Q-7
L NUMBER OF FIXTURES c�l� SEPTIC TANK I
POOL SEPTIC TANKSEWER
S UTILITY CO NOTIFIED I
TOTAL FEE �i �� f 1 f l
FINAL
I '