HomeMy Public PortalAbout4913AGNES AVE_Plumbing o a s n EaM SETS 12°° APPLICATION FOR PERMIT
'DEPARTMENT OF+BUILDING AND SAFETY
COUNTY OF LOS ANGELES1
Wm J FOX CHIEF ENGINEER PLUm
z r NATURE OF INSTALLATION 1 DISTRICT NO GROUP N E PERM;'NO
ROUGH FIXTURES COMPLETE _6 ✓( r (7��
HE-TER CESSPOOL I " I SEPTIC TANK RED BY E
C IVEREADY FOR DAT ISSU
FIRST INSPECTIONL�
I
GAS MISCELLANEOUS' �L T
/APPLICANT FILL IN HEAVILY LINEDI�PORTION
ONLY
JOB
0 NAM J47— /}9�� ADDRESS .✓� Y Ky] si/(i
A-
m ADDRESS • LOCALITY .d'• ws
NEAREST
CITY A A�A TEL N 4 U 14 CROSS ST
COUNTY / Z" s
� //1 (L. �yy�y /I�
CERT No P RES 71 B NAME
LOCATION OF SEPTIC TANK, OR'ICESSPOOL Z MAIL •� �® _
• NORTH 4 O ADDRESS
r •
* �p CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
4 ANGELES COUNTY CERTIFIC� 1FICATION
` t t
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
* ABOVE
� A i
OWNER
J CORRECTIONS `
a .c < e n w of 7-L
"t a It �D � i rw
SOUTH r
DESCRIPTION OF CORK _
x `BATH TUB w �--a RAl CB • a
SHOWER DISHWASHER '
LAVATORY ` REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
FLOOR BINK ' SAND TRAP
C
SLOP SINK FLOOR DRAIN
.P ( '1 r J 9
WASH TRAY i URINAL APPROVALS
z
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING i f5
e
METE GAS a SODA FOUNTAIN
OUTL GAS PIPING I • I j
d I I
GAI VENT
CESSPOOL j
ITOTAL NUMBER OF FIXTURES O ® SEPTIC TANK '
CESSPOO• SEPTIC TANK SEWER I V
i I
TOTAL,FEE v 0 UTILITY CO NOTIFIED� I
FINAL