HomeMy Public PortalAbout5210AGNES AVE_Plumbing (7) f ' '4Oa F BUILDING AND SAFETY APPLICATION FOR PERMIT
ANT
t,OUNTY OF LOS ANGELES 1
Wm J FOX CHIEF IINd1NICER PLUMBING
INATURE: OF INSTALLATION DISTRICT _GR o P /R� E P MIT o'7
ROUGH FIXTURES COMPLETE <—
/ / / O �f /
—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
HEATER __ CESSPOOL /,� FIRST INSPECTION
GAS MISCE LANEOUS I`h/
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
m ADDRESS LOCALITY
:2 NEAREST
.J CITY F,� �JO/yL TEL No CROSSST
d
COUNTY
LICENSE NO EXPIRES If NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRE9
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI_SATE OF QUALIFICATIO
PLUMB
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
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CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE
ROWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPBCTOR S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER—GAS SODA FOUNTAIN
OUTL dA8 PIPING
,(( /J
dA8 VENT I
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK / V L SEWER
3
UTILITY CO NOTIFIED
TOTAL FEE 3-Y% y A s
FINAL