HomeMy Public PortalAbout4948AGNES AVE_Plumbing (5) ' 66
7�P 17 25M SETS 7 48
APPLICATION FOR PERE T
D ' OUNTY OF LOSIANGELESSAR i d l4dliSi 9
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Wm J FOX CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRI ) O G O PO E PERMIT O
ROUGH FIXTURES nMPLETE f
HEATER CESSPOOL I�SEPTIC TANK RECEIY ,BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME �6"✓IJ ADDRESS A/Q
m ADDRESS LOCALITY
NEAREST
A CITY No CROSS ST
tL
COUNTY
LICENSE NO EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH 0
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELEH COUNTY CERTIFICATE OF QUALIFICATION
&,&, ;Ks"
PLUMBER
zol
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
q ABOVE
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE o
IY
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
-METER-GAS SODA FOUNTAIN
OUn GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
_ _CESSPOOI SEPTIC TANK SEWER
S
TOTAL FEE
/VC}.t"''] UTILITY CO NOTIFIED �� p
-� FINAL 134"A Z