HomeMy Public PortalAbout4937AGNES AVE_Plumbing -�D B S 17 29M SETS 12 44 ` APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 5
'rt COUNTY OF LOS ANGELES1
Wm J FOX CHIEF ENGINEER _
NATURE OF INSTALLATION DISTRICT NO GROUP] ZONE PERMIT NO
ROUGH FIXTURES COMPLETE S j� Aul
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v HEATER CESSPOOL —]SEPTIC TANK RE6EIV BY READY FOR FIRST INSPECTIONDATE 181
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GAS MISCELLANEOUS L
APPLICANT FILL I/N HEAVILY OUTLINED PORTION ONLYJOB
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NAME ® �/ ADDRESS /
p' ADDRESS 17# TyM4_J4J
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LOCATION OF SEPTIC TANG, OR CESSPOOL 3 ADDRESS // D �l leo dEi� �•�._
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5 CITY TEL No
? - 1 AM THE LEGAL POSSESSOR pOF THE ABOVE LOB
w ANGELES COUNTY CERTIFICATE OF UA IFICATION
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
L T OWNER
CORRECTIONS
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DESCRIPTION 0 WORIK
BATH TUB ' FURNAWa
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SHOWER DISHWASHER �
LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
a
—FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
/Y WASH TRAY URINAL APPROVALS
LALLWATER CLOSET DRINKING FOUNTAIN
t DATE INSPECTOR B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ?—9
METERGAS SODA FOUNTAIN GAS PIPING I Q�
OUTL I +st
+
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES � � SEPTIC TANK
r
CESS SEPTIC TANK SEWER
UTILITY CO NOTIFIED
I TOTAL FEE Sd �
FINAL (o