HomeMy Public PortalAbout9023 JAYLEE DR_Plumbing_11/28/1947_71751 cesspool D.S.S.17 25M SETS 7-47 + APPLICATION
PPLIC 6� ION FOR PERMIT'
DEPAR`IMENT OF BUILDING AND SAFETY
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COUNTY OF LOS ANGELES .
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GR
ouP ZONE PP/j RM17T�t0,
ROUGH FIXTURES COMPLETE ` / ` 5—/
HEATER CESSPOOL I—I SEPTIC TANK RE IVSD BY READY FOR DAT�E1 ISSUED
_ ,_. il� FIRST INSPECTION
GAS MISCELLANEOUS �tw�
APPLICANT FILL IN'HEAVILY OUTLINED PORTION ONLY
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E NAME �p �J t j�� r ADDRESS / .,/G...
mADDRESS — _ LOCALITYr
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O1;7NEAREST
C CITY - TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL ~
ADDRESS
NORTH O
CITY TEL.No.
i AM THE LEGAL POSSESSOR OF THE ABOVE LOS
AN COUNTY CERTIFICA OF gUALWICATION
. �
_ V PLUMBER
I AM THE LEGAL OWNER OF THE.PROPERTY DESCRIBED
ABOVE.
a
M OWNER
'1 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK - z
BATH TUB FURNACE 9
SHOWER DISHWASHER p
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—GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I
CESSPOOL I I
TOTAL NUMBER OF FIXTURES p SEPTIC TANK
CE98P00L______SEPTIC TANK , (�(/ SEWER
r $ UTILITY CO.NOTIFIED I i I d� I Y//A AA-i.
TOTAL FEE �f vv -
FINAL