HomeMy Public PortalAbout9180 JAYLEE DR_Plumbing_9/12/1947_62267 cesspool D.B.S.77 25M SETS 0-47 APPLICATI®N FOR PERMIT .
DEPARTMENT OF BUILDING ARID SAFETY
COUN Y OF LOS ANGELES
Wm.J. FOX. CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT No. GROUP zo PERMIT No.
ROUGH FIXTURES COMPLETE �" �Z Z,p
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL I-I SEPTIC YANK FIRST INSPECTION. G
GAS, MISCELLANEOUS z
APPLICANT FILL IN HEAVILY-OUTLINED PORTION NLY
NAME JOB
ADDRESS Yj -
m ADDRESS? LOCALITY J
g
Ds a NEAREST
'J CITY TEL.NO/ (/ CROSS ST.
a
COUNTY - - �"'
CERT.No. EXPIRES 9: NAME
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 CERTIFICAT FF QIUALIFJCAnTION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE
ABOVE.
>
OWNER
CORRECTIONS
.SOUTH
- J .
DESCRIPTION OF WORD a
z
HATH'TUB FURNACE [7
lt'
"SHOWER DISHWASHER Q
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 I I
ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
_ GAS VENT
CESSPOOL ( '
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANKF/ O c SEWER I
S - UTILITY CO.NOTIFIED I k
TOTAL FEE
FINAL �/