HomeMy Public PortalAbout4901AGNES AVE_Plumbing (2) D.B.S.17 25M SETS 12-44 APPLICATION FOR PERMIT
DEPARTMENT OF•BUILDING AND SAFETY
COUNTY OF LOS ANGELES PL BIN 1'
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP
ONE PERMITNO.
ROUGH FIXTURES COMPLETE T` I ZZ
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READY FOR
HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY FtRBT IN P CTION �DATE
OI�SBU
/ED
GAB MISCELLANEOUS f ✓!� m
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB _?
K NAME ADDRESS
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m ADDRESS / / r d LOCALITY
NEAREST
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IL
CITY L/ o. CROSS ST. �,�Y'F-
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COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
f I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
i
i
PLUMBER
I AM THE LEGAL OW14ER70F THE PROPERTY DESCRIBED
ABOVE.
3 yi:
OWNER
I CORRECTIONS
t
1
SOUTH
a
DESCRIPTION OF WORK
BATH TUB FURNACE
- SHOWER � DISHWASHER O
LAVATORYREFRIGERATOR
_KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
_WASH TRAY / URINAL APPROVALS
__WATER CLOSET ! DRINKING FOUNTAIN ( DATE I INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING t
METER_ GAB SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
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TOTAL NUMBER OF FIXTURES SEPTIC TANK I �
CESSPOOL SEPTIC TANK SEWER II
TOTAL FEE ��/ t' d UTILITY CO.NOTIFIED
( I FINAL �b ✓'"' � `