HomeMy Public PortalAbout9023 JAYLEE DR_Plumbing_10/27/1947_67489 water fixtures D.B.S.-17 z5M sEms lz-a5 APPLICATION FOR PERMIT
MPAItTMENT OF BUILDING AND, SAFETY
COUNTY. OF LOS ANGELES
�AVM.J. FOX, CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
,PERMIT
ROUGH FIXTURES COMPLETE C `Y
HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
� �� FIRST INSPECTION
GAS MISCELLANEOUS 7
APPLICANT FILL IN HEAVILY OUTLINED. PORTION ONLYJOB
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a NAME Q. Y1Ro Ler yto ADDRESS / Q ee Dr; vp-
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,j !ADDRESS O LOCALITY e-mp pcity
D `�,A NEAREST I {�
-1 CITY_rb'm TEL.No. CROSS ST. S u 1 1 R"vl a
IL
COUNTY
CERT.No. EXPIRES 0 NAME ( O Q
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL /J
ADDRESS / O N' ' G2 Q..
NORTH O `�
CITY!C� IIS �F TEL°.NO.
I AM THE LE&AL POSSESOR OF THE ANOVE LOS
__ ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
�4
PLUMBER
�t 1 AM THE LEGAL OWN OF THE.
�fPROP(E/fRTT�Y,DESSCR�I®ED
ABOVE. l .�/.h
�eb.✓1. � cwhER f
CORRECTIONS �
0 ,
SOUTH
DESCRIPTION OF WORK
BATH TUB FURNACE a
I---HOWER ' DISHWASHER
`AVATORY REFRIGERATOR '
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL
APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NANB
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ,
METEp_3GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
// ,CESSPOOL I�
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK j n SEWER
UTILITY CO,NOTIFIED 1 7 1 in ,►Y I 1//n n
TOTAL FEE
- FINAL P1�I-