HomeMy Public PortalAbout9167 JAYLEE DR_Plumbing_10/10/1947_65429 cesspool D.B.S.17 2SM SETS 7-47 APPLICATION 4DRHI FOR II'
(DEPARTMENT OF BUILDING AND SAFETY S 8117IlE I
COUNTY OF LOS ANGELES PLUMBING
Wm. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT No. GRo P .ZONE 12R ` O.
ROUGH FIXTURES COMPLETE _
FOR READY HEATER CESSPOOL SEPTIC TANK RECEIVED BY REDATfi ISSUED
r"/stIfb�'�- FIRST INSPECTION
GAS MISCELLANEOUS
�APPLICANT FILL IN HEAVILY ®LTTLINED PORTION
ONLY
JOB
Q. NAME .�ti�.,s�'/! iA• �,.3: �f_... .� ADDRESS '-.��•.b/-�i"
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ADDRESS, fi ci % „, Z9 /r ! "�''�"n✓ y,/f✓' LOCALITY
n NEAREST
OJ. CITY �j �` !' a TEL.No�/�`�/ �tCROSS BT.
COUNTY '
CERT.No. EXPIRES / W NAMEy
LOCATI®N OF SEPTIC TANK, OR CESSPOOL, 3 DDREBs '(-J .� /�
NORTH O
_ CITY A /Gds- _ TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE,OF QUALIFICATION..
PLUMOBR /
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ry� ABOVE. /
W D
i OWNER
CORRECTIONS
SOUTH J .
IDESCRIPTI®N OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR(DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN
OUTL 6A9 PIPING
GAS VENT -
CESSPOOL i
TOTAL NUMBER OF FIXTURES SEPTIC TANK i I
CESSPOOI SEPTIC TANK / �� SEWER I
" .8 � I
TOTAL FEE / Q UTILITY CO.NOTIFIRD i
r
/ FINAL