HomeMy Public PortalAbout9333 BLACKLEY ST_Plumbing__ B s M SETS 12 44 APPLICATION FOR PERMIT
F ,W TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
Wm J FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE ��ryyPEJ+�RMITS} 4'.,z
ROUGH FIXTURES COMPLETE II READY FOR
HEATER CESSPOOL -�9EPTIC TANK paRECEIVED BY DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
d, NAME JOB 'rADDREB8/��/
W
m ADDRESS .�,.(� LOCALITY jr
J NEAREST
0. CITY /�/91 TEL No CROSS ST -
COUNTY
CERT-No � � EXPIRES K NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
• - CITY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
_ ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
_ ABOVE /� q
ti � - ,/�✓_-/p VJ?1'};Ya Romer
OWNER
- CORRECTIONS
A
SOUTH
DESCRIPTION OF WORK1 a
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BATH TUB FURNACE
SHOWER r DISHWASHER / Gr (✓ 014
O
LAVATORY REFRIGERATOR
/ KITCHEN SINK WATER SOFTENER
s � /
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN v
�WASH TRAY- URINAL APPROVALS
WATEFt CLOSET DRINKING FOUNTAIN J DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING'
METER v GAS SODA FOUNTAIN
OUTL GAS PIPING61
- GAS VENT /
CESSPOOL 26—�6
TOTAL NUMBER OF FIXTURES13 SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
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UTILITY CO NOTIFIED �J7`/1 7p
W'� 7►•- l�ilr `
I TOTAL FEE /� Id1w
17 FINAL