HomeMy Public PortalAbout5455 CLOVERLY AVE_Plumbing__ D s S-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L�
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL
1-7—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GA8 MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME E � p �� ADDRFS
G ADDRESS LOCALITY
NEAREST
IL CITY ���, TEL No CROSS ST '
COUNTY
CERT No EXPIRES I NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUA CATI
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1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE 0
N
SHOWER DISHWASHER
O
LAVATORY REFRIGERATOR ,
KITCHEN SINK WATER SOFTENER s
FLOOR BINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE IM>a►SrroR' _ were
WATER HEATER DENTAL LAVATORY 3
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIX'I URES SEPTIC TANK
CESSPOOL SEPTIC TANK / SEWER
I1UTILITY CO NOTIFIED
TOTAL FEE
FINAL
G e 17 IoM 8HT8 u41 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES
Wm J FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERWXT NO/
• ROUGH FIXTURES COMPLETE 3� � /S � I
RECEIVED BY READY FOFf DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS -7 -4e&
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME ADDRESS ✓ �'
W
m ADDRESS � LOCALITY
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NEAREST
ST
t
.J CI TEL o CROSS ST
IL
COUNTY
CERT No EXPIRES it NAME
MAIL
LOCATION OF SE TIC TANK,OR CESS�°O I; 3
ADDRESS
NORTH O
CITY c7�C '✓"�"`��'��- TEL No
I AM THE LEGAL POSSESSOR THE ABOVE LOS
1 ANGELES COUNTY/CE , FICA UALIFICATION/I AM THE LEGAER OF THE PROPERTY DESCRIBED
ABOVE
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a
3 a i OWNER
CORRECTIONS
SOUTH
Q
DESCRIPTION OF WORK z
..BATH TUB FURNACE
HOWER DISHWASHER 0
LAVATORY REFRIGERATOR _
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
J WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
./ OR 3 NAME
WATER HEATER DENTAL LAVATORY DATEINSF�iE ROUGH PLUMBING 17 1 q 6 't
METER 2� GAB SODA FOUNTAIN /A
OUTL GAS PIPING C//4✓
GAS VENT TJ✓J Y`� _ �/
`
/�y CESSPOOL I
---IL--TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER r
$ w.. I UTILITY CO NOTIFIED
TOTAL FEE
FINAL