HomeMy Public PortalAbout4913AGNES AVE_Plumbing (2) D S S " 23M SETS 7 47 APPLICATION FOR PERMIT
]DEPARTMENT OF BUILDING AND SAFETY
r COUNTY OF LOS ANGELES ' 1
E
Wm J FOX CHIEF ENGINEER
' NG
NATURE OF INSTALLATION DISTRICT
GROUP ZO PERMIT Ido
/ o
ROUGH FIXTURES COMPLETE 5' '27
HEATER CESSPOOL I-)SEPTIC TANK RBCEIV READY FOR DATE ISSUED
FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME ADDRESS ,r
W �
m ADDRESS /! 0?0,1 - LOCALITY
NEAREST
d CITY TEL No CROSS ST i
COUNTY
CERT NO EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH O ADDRESS
CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFIC TION
-PL LAIL.,1/. .
PL. MR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
HATH TU13 FURNACE - L7
<Y
` -SHOWER DISHWASHER �
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK AND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METEQ GAB SODA FOUNTAIN I
OUTL GAS PIPING
rCESSPOOL
NT I I
TOTAL NUMBER OF FIXTURES TANKCESSPOOI SEPTIC TANK CO NOTIFIED I I
TOTAL FEE O
FINAL