HomeMy Public PortalAbout5708AGNES AVE_Plumbing (6) D B S 17 25M SETS 12 44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES I I
PLUMBING
WM J FOX CHIEF ENGINEER i
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES COMPLETE I I �/IO
HEATER CESSPOOL I-I SEPTIC TANKRECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ts GAS MISCELLANEOUS n ~/
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME B A `� � Q{.J w ADDRESS D OO
m ADDRESS ESSPppL SER�/1C�- ' LOCALITY 'iC�6NbR '
3 CITY P!022 EMPERG� CROSS SST �
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CERT NTEMPLE CITY 8 m NAME 1 Ate/
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH ' O
r CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICq OF,QUALIFICATION
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
A ABOVE
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OWNER
CORRECTIONS
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SOUTH i ei
DESCRIPTION OF WORK
M
PATH TUB FURNACE
a O
SHOWER DISHWASHER i
LAVATORY REFRIGERATOR
i
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
I
WASH TRAY URINAL APPROVALS
L
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR B NAM[
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
'METER GAB SODA FOUNTAIN
OUn GAS PIPING
GAS VENT I
CESSPOOL
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TOTAL NUMBER OF FIXTURES SEPTIC TANK �l 1
CESSPOOL SEPTIC TANK v;--v
SEWER
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TOTAL FEE UTILITY CO NOTIFIED I 1 I 1 �A AJ
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J FINAL I
T v