HomeMy Public PortalAbout6164 BURTON AVE_Plumbing__ D.B.S.-17 25ni SETS 19-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ® p��p �a
COUNTY OF LOS ANGELES r��t1®®®�®�� 1
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
_ _ i 6/96
ROUGH FIXTURES COMPLETE
CESSP
RE EIVED BY READY FOR DATE ISSUED
HEATER MISCE, OL SEPTIC TANK �� 2� FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME Com,. r`//�(y�JJ //�(/L ADDRESS
ADDRESS/ SD //.//JJ -�•/�. .•� LOCALITY
NEA
EST
L CITY,Qf�ji�•(/ { _(',TEL.No. CRO 9 ST.
1
COUNTY
CERT.NO. EXPIRES It NAME �.^/ •/ /J��//G//�"I)J.2��.�/
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADAL
DRESS
NORTH O
CITY //w/ LCL�EL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
'• DOWNER
H
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
�eBATH TUB FURNACE O
V/ I••I
HO W ER D 19H W ASHEP C'
O
LAVATORY REFRIGERATOR
_KITCHEN BINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
/ DATE Ip oBROR'B 7MR
-WATERUTL ER DENTAL LAVATORY ROUGH PLUMBING I '-vo 4E I
ETE GAS SODA FOUNTAIN GAS PIPING
O
GAB VENT I
CESSPOOL I I
TAL NUMBER OF FIXTURES 3 SEPTIC TANK I I
CESSPOOI- SEPTICTANK SEWER
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL •� -