HomeMy Public PortalAbout5020 CAMELLIA AVE_Plumbing__ D.B.S.-1l 25M SETS 11-46 APPLICATION FOR PEFMT
" tDEPARTT OF BUILDING AND SAFETY
COU ��������
COUNTY OF LOS ANGELES
` Wm. J. FOX, CHIEF ENGINEER
j NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER 1-1 RECEIVED BY READY FOR DATE ISSUED
CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
VALLEY BLVD. PLUIV.L . i & LLQ.. JOB
K NAME - - ADDRESS
m ADDRESS -~~
� LOCALITY -`
NEAREST
d CITY TEL.No. CROSS ST. -
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
ADDRESS
NORTH Q
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCP.IBED
ryry�� ABOVE.
47 D
y OWNER
i
CORRECTIONS
SOUTH
J
DESCRIPTION OF `YORK Q
_z
BATH TUB FURNACE E3
Q'
SHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMMINO I 0 I
METER-GAS SODA FOUNTAIN GAS PIPING I I I
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES _SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL