HomeMy Public PortalAbout9083 BROADWAY_Plumbing__ O.B. 17 YSM SETS 11-43
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT N . GROUPI ZO PERMIT NO.
LUGH FIXTURES COMPLETE -T— //---/
RECEIVED BY READY FOR DATE ISSUED
TER CESSPOOL SEPTIC TANK //{)/ FIRST INSPECTION
MISCELLANEOUS tl
AAPPLICA}NTT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
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a, NAMEl&M; /i-",L _"I/ �I�////l.�iiC.f�JPa'{=�_ ADDRESS ®%.LC �,A'
B ADDRESS/l�pI: 10- /`.�.✓J $ LOCALITY
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y CITY /�1 NEAREST
--&L l,� .�wa TEL.No. ' - CROSS ST.
COUNTY Q d NAME .�M /1 D�/.1/N✓1
CERT.No. EXPIRES
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
VLUNBHR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
>m D
W
2 y OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _z
BATH TUB FURNACE L7 E
SHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INItQCTOp'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER—GAS SODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
/ CESSPOOI SEPTICTANK SEWER I I
8
�iU UTILITY CO.NOTIFIED
TOTAL FEE V
FINAL
DA.O.IT asNeos IME APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �� ��
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICENO. GR PERMIT O.
ROUGH FIXTU REB ✓I COMPLETE �'t /
NEATER CESSPOOL SEPTIC TANK REC READY FOR
ED.BY DAYS ISSUED
FIRST INSPECTION
A9 MISCELLANEOUS /l/1�/Mf �A✓I I - f�l/�fC
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
0.• HANE . ADDRESS
W —
G ADDRESS P LOCALITY I
Z
D 'NEAREST
L CITY I TEL NO MI � CROSS STCOUNTY (/ I
CERT.No. D EXPIRES k3O NAME r+
LOCATION OF IRFPTIC TANK, OR CESSPOOL
MALL
i ADDREDB
NORTH O
CITY TEL.NO.
1 AM THEESyOR OF THE ABOVE WS
ANGELES COU GAL C8RT1 Ay$OF QUAhIFICATION.
GSL/
PLUMOOB
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
i
� .
' SOUTH
DESCRIPTION OF WORK !
z_
BATH TUB FURNACE r
D
ROWER DISHWASHER V D
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP BINK FLOOR DRAIN '
WASH TRAY URINAL E� APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN8PRCTOR'R NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING . I
ETER_GAS SODA FOUNTAIN GAS PIPING I I
OUT
GAB VENT
/y/� CESSPOOL I
TOTAL NUMBER OF FIXTURES V •- SEPTIC TANK
CEBBPOOI SEPTIC TANK SEWER
UTILITY CO.NOTIFIED
I I
TOTAL FEE
FINAL
O.G.S.17 25M SETS IO"' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY - 5]
COUNTY OF LOS ANGELES
VIM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION ols RICT NO. G ZONE PERMIT O.
ROUGH FI%TUREH COMPLETE _ i 53 8
HEATER CEHBPOOL SEPTIC TANK RECEIVED BY READY FOR pATE 188UED
E BY FIRST INSPECTION D
GAB MISCELLANEOUS ��� b��/
APPLICANT FILL JN HEAVILY OUTLINED PORTION ONLY
K NAME i{. /r ADB I — /
ADDRESS 0l7 ( `
ADDRESS �.S ' tr/ S j LOCALITY / ( ' 011 '
JNHAREBT
y CITY TEL.N _� CROSS ST.
COUNTY /�/ EXPIRES (�J✓ y NAME
CERT.No.
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
.ADDRESS
NORTH O
CITY TEL.NO
1 AM TH8 LHG P009 SOR^OF THE ABOVE LOS
ANGELES COUNTY CHRTIFIC H P QUALIFIIFAATIION,
PLUMeeR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
> owMcq
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE LD
Q
ROWER —DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SANDTRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CCLQLLF�OOTSET DRINKING FOUNTAIN DATE IMSPHCT R'O MAUI
WRYER DENTAL
GA6 SODA FOUNTAINRY ROUGH PLUMBING
ETEI I
OUTL GAS PIPING I I
GAS VENT I
CESSPOOL I
TOTAL N�UMSEROF FIXTURES SEPTIC TANKCESSPOGEPTICTANK SEWER I
3
TOTAL FEE UTILITY CO.NOTIFIED I /p
/ J U FINAL '�� �1' / I