HomeMy Public PortalAbout9189 JAYLEE DR_Plumbing_5/12/1947_48026 fixtures 0.8.5.-17 zSM SETS 11-45 APPLICATION FOR PERMIT
DEPARTMENT BUILDING AND SAFETY
CO ��������
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE P RMIT NO.
ROUGH FIXTURES COMPLETE _
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL -I ffiFPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
W
m ADDRESS LOCALITY
E
a NEAREST
CITY TEL.No. CROSS ST.
A.
COUNTY
CERT.No. EXPIRES !r NAME
Id
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W Y
W, OWNER
CORRECTIONS
SOUTH ,J
DESCRIPTION OF WORK z
BATH TUB FURNACE
CY
SHOWER DISHWASHER O
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 - GAB SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT 1I I
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOI- SEPTIC TANK SEWER
$ I UTILITY CO.NOTIFIED
TOTAL FEE
FINAL