HomeMy Public PortalAbout9167 JAYLEE DR_Plumbing_11/22/4194_709123 fixtures D.S.S.-17 25M SETS 11-46 APPLICATION
PP IC p TION FOR
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(DEPARTMENT OF ]BUILDING AND SAFETY
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COUNTY OF LOS ANGELES PLUJWWNG
•
,Wm.J. FOX. CHIEF ENGINEER
NATURE OF.INSTALLATION DISTRICT NO. GROUP1. ZONE PERMIT-NO.
ROUGH FIXTURESCOMPLETE
HEATER CESSPOOL h SEPTIC TANK RECEIVED BY READY FOR DAT ISSUED
r FIRST INSPECTION DAT ISSUED( /
GAS- MISCELLANEOUS - O
APPLICANT*FILL:IN HEAVILY OUTLINED
,rPORTION ONLY
"66Y BLy D. PLW45i[�G & ELECTRIC CO, ADDRESS / d J 1 )� ►a
g •ADDRESS /� {� / LOCALITY
7 G-
D. NEAREST
CITY �;�.��•- .�� TEL.NO.� �•p Q� . CROSS ST. -
COUNTY
CERT.NO. :3 Q EXPIRES d' NAME �eiGli �'• [.°!vl
LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL
ADDRESS.
NORTH O
CITY TEL.No.
I AM THE LEGAL P08SESSOR OF THE• ABOVE LOS
ANGELES .0 UNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH _j '
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK _ WATER SOFTENER
/ FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY ±URINAL
APPROVALS '
WATER CLOSET DRINKING FOUNTAIN
- DATE INSPHCTOR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
`/ METERjAS SODA FOUNTAIN
OUTL GAS PIPING
++ GAS VENT i I
CESSPOOL
TOTAL NUMBER OF FIXTURES •� SEPTIC TANK
-CESSPOOL.: SEPTIC TANK SEWER I I
IVo UTILITY CO.NOTIFIED I
TOTAL FEE L.
FINAL