HomeMy Public PortalAbout5440 CLOVERLY AVE_Plumbing__ _D B S 17 25M,SETS 12 44 -APPLICATION FOR PERN[IT
,,DEPARTMENT OF BUILDING AND SAFETY
r `> COUNTY OF LOS ANGELES IPLUMBING
` WM J FOX. CHIEF ENGINEER' '
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE ~PERMIT NO
_
ROUGH FIXTURES COMPLETE -
HEATER CESSPOOL —I SEPTIC TANK RE EIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
I GAS MISCELLMENEM
ANEOUS r
A_PP CANT FILL ly FEAVILY OUTLINED PORTION ONLY
It - NAME' ADDRESS-
W
m ADDRE LOCALITY
f04
J ���� NEAREST _ -
JL CITY - f (�.. TEL N CROSS ST
+ COUNTY -
CERT NO EXPIRES ye E NAME
LOCATION OF SEPTIC TANK, OR C SPOOL z` MAIL
3 ADDRESS
NORTH �i O �
CITY
TEL No
I AM THE LEGAL POSSESSOR O H6 ABOVE
f ANGELES„COUNTY CERTIFI TE F A FICCATION.
PLUMBER
' I AM THE LEGAL OW OF THE PROPERTY DESCRIBED
ABOVE
r r > r OWNER
` w CORRECTIONS ,
~ r
SOUTH a
d
-DESCRIPTION OF WORK ,
BATH TUB FURNACE H
'HOWER DISHWASHER C
LAVATORY REFRIGERATOR -
--L—KITCHEN SINK WATER SOFTENER'
FLOOR SINK �AAND TRAP `
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL + b - t APPROVALS' , ..
WATER CLOSET RINKING FOUNTAIN DATE INSPECTOR.8 NArE
_WATER HEATER ENTAL LAVATORY ROUGH PLUMBING
�' _
METER-GAS RODAFOUNTAIN
OUTL - GAS PIPIN
GA9 VENT
CESSPOOL
.�G e ZS
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CEfo8POO ------SEPTIC TANK SEWER s
l UTILITY CO NOTIFIED I 'I
'I TOTAL. FEE � � I � � � _x<
111 PINAL