HomeMy Public PortalAbout4949AGNES AVE_Plumbing (3) DaLqlllwL,Ts 148 APPLICATION FOR PMT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING '
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER *1
NATURE OF INSTALLATION DISTRICT
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ROUGH FIXTURES COMPLETE J � // (J (/
HEATER CESSPOOL I—] SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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LOCATION OF SEPTIC TANS, OR CESSPOOL
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I AM THE LEGAL OWNER OF THE OPERTY DESCRIBED
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CORRECTIONS
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DESCRIPTION OF WORK a
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BATH TUB FURNACE O
ROWER DISHWASHER
Q'
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
PLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR S NAME
WATER HEATER DENTAL LAVATORY I l
ROUGH PLUMBING i
-METER-GAS -------SODA OUNTAIN
UTL GAS PIPING
O/
GAS VENT �-
�(JL[�1 I►7��f CESSPOOL
TOTAL NUMBER OF FIXTURES ` SEPTIC TANK / I
CESSPOOI SEPTIC TANK S Q SEWER I
$ 1 UTILITY CO NOTIFIED
TOTAL FEE /
FINAL