HomeMy Public PortalAbout4949AGNES AVE_Plumbing (10) 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
ZONE cP`,�y,MI O
ROUGH FIXTURES COMPLETE J � // (J (/
HEATER CESSPOOL I—] SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
- nn`. FIRST INSPECTION J
AS MI CEL NEOUS ` k� / �' I 0-
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME ADDRESS
712tf G E GL Q ESS
m JJ,[�
� ADDRESS ` a� � z"LI e_ LOCALITY
D NEAREST
y CITY CJY�Qrt7G�T t2� �EL�,tlo CROSS ST
COUNTY
CERT No EXPIRES m NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL
Z MAIL a
3 ADDRESS Y
NORTH O a
CITY �/''� TEL NO
I
A
LUMBO<R
I AM THE LEGAL OWNER OF THE OPERTY DESCRIBED
ABOVE
D
owNEw
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
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