HomeMy Public PortalAbout9189 JAYLEE DR_Plumbing_5/19/1947_849170 cesspool APPLICATION FOR PERMIT ,
6.8.5.17 25M SETS 2-47 '� �' '� '�
DEPARTMENT OF BUILDING ANIS SAFETY
COUNTY OF LOS ANGELES
:WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTReIICT/IVO. GROUP ZO Z PERMIT NO.
ROUGH FIXTURES COMPLETE �/ g� / 7e
HEATER CESSPOOL I-I SEPTIC TANK RECE VELD BY READY FOR DAT ISSUgggD
� FIRST INSPECTION /��
GAS MISCELLANEOUS 9/
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB 11��u+
NAME- ADDRESS A, 44 .FAe
ADDRESS- LOCALITY - dJ
m � �+/��g �,� NEAREST �p9
A CITY 6�4i�"� TEL. O. if Y 1 P CROSS ST. �P
a
COUNTY �
CERT.NO. EXPIRES W NAME / :�^ _
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O.
CITY / TEL.NO.
I AM THE- LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
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PLUMBER I
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
(� OWNER
'1 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE
IY
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP 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 GAS PIPING.
OUTL
GAS VENT I I
CESSPOOL
��TO�T�AL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER I I A
$ U*ILITY CO.NOTIFIED I I I
TOTAL FEE \If 1 Ca �Ai1 FINAL � WVI--
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