HomeMy Public PortalAbout5708AGNES AVE_Plumbing (5) D B 17 4-89 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES '�
WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP I ZONE PERMIT No
C;)C;)ROUGH Q/
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PLUMBING I FIXTURES COMPLETE READY FOR fRECEIVED BY DATE ISSUED�
HEATER CESSPOOL ASEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS I
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,,,APPLICANT FILL IN HEAVILY OUTLINED'PORTION ONLY
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ADDRESS
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LOCATION OF SEPTIC TANK, OR CESSPOOL zMAIL
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DESCRIPTION OF WORK
BATH Tua FURNACE ,
GROWER DISHWASHER
APPROVALS
LAVATORY REFRIGERATOR DATE INSPECTOR NAME
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING
FLOOR SINK SAND TRAP GAS PIPING
GLOP SINK FLOOR DRAIN GAS VENT
_`_WASH TRAY URINAL CESSPOOL
WATCR CLOSET DRINKING FOUNTAIN SEPTIC TANK
WATER HEATER DENTAL LAVATORY SEWER
METER GAS SODA FOUNTAIN UTILITY CO NOTIFIED
OUTL
FINAL I.pf/ 0�/} S /
I AM THE LEGAL OWNER OFiTHE ABOVE LOS ANGELES
COUNTY REGISTRATION NUMBER
TOTAL NUMBER OF FIXTURES ad1l /SJjI
EPTIC TANK 670M��IIAAA000 PLUMB' ,ER('
CESSPOOL �L I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
I / ABOVE
TOTAL FEE
OWNER