HomeMy Public PortalAbout4949AGNES AVE_Plumbing (2) 7GA667 17 2SM SETS 7 48 APPLICATION FOR PERS
DEPARTMENT OF BUILDING AND SAFM
COUNTY OF LOS ANGELES
Wm J FOX CHIEF ENGINEER PLUMBING
NATURE OF INSTALLA17ON DISTRICTO ROPZONE PERMIT
ROUGH FIXTURES COMPLETE ul A-1
IVED BY READY FOR ATB ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AS MI LANEO 8Ll, I
_ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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K NAME k�diC_ ¢? ADDRESS
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OJ. CITY ��,�'� TEL No bbd —/o c CROSS ST
COUNTY
LICENSE NO ( EXPIRES d'L/S W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
DRESS
NORTH O
CITY �,
,sr. TEL No
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
_ PLUMBER
1 AM THE LEGAL OWN OF F THE PROPERTY DESCRIBED
ABOVE
M
3 OWNER
a
CORRECTIONS
5
_ _T
SOUTH ^^ J
DESCRIPTION OF WORK z
ATH TUB FURNACE E9 -_
a
HOWER DISHWASHER O
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BAND TRAP
LOP SINK OOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETER q_GAS QODA FOUNTAIN GAS PIPING
OUTL � l
GAS VENT ( 1 f
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER 7
IS UTILITY CO NOTIFIED I / V 4S
TOTAL FEE sa'O
FINAL119 J