HomeMy Public PortalAbout5004AGNES AVE_Plumbing (4) D 8 17 25M BETS 12 43 APPLICATION FOR PERMIT
DEPARTMENT OF BUII.DING AND SAFETY PLUMBING
COTlNTY OF LOS ANGELES
WM J FOX CHIEF]ENGINEER
NATURE OF INSTALLATION DISTRICT G OUP ZONE PERMIT NO�
4 ROUGHt� FIXTURES /_COMPLETEIV- �/
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♦� RECEIVED BY READY FOR DATR ISSUED
HEATER CESSPOOL V I BEPTICTANK ` >FIRST INSPECTION /
A9 MISCELLANEOUS W im ' 6 Pv
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
� NAME ADDRESS
ADDRESS LOCALITY
O �Al I NEAREST I A
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CITY TEL No CROSS ST
aJCOUNTY
CERT No EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE n
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CORRECTIONS
4
SOUTH
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DESCRIPTION OF WORK z
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HATH TUB FURNACE O
Fr
SHOWER DISHWASHER p
/ 1-AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_WATER CLOSET DRINKING FOUNTAIN /
DATE INSPECTOR B NAME
WATER HEATERS DENTAL LAVATORY I /�
ROUGH PLUMBING
METER—GAS ------SODA FOUNTAIN GAS PIPING
OUTL l
GAS VONT I 1
CESSPOOL t
TOTAL NUMBER OF FIXTURES SEPTIC TANK
_/.CESSPOOI PEPTIC TANK SEWER
S UTILITY CO NOTIFIED e
TOTAL FEE .3, FINAL I to_ I