HomeMy Public PortalAbout5735 CLOVERLY AVE_Plumbing__ D B S-17 25M SETS 12-45 APPLICATION'FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLU 1
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES _1_5
HEATER
HEATER CESSPOOL SEPTIC TANK /REECEIVED Y READY FOR FIRST INSPECTION _DATEISSUED
GAS MISCELLANEOUS // /D
A_PPLICANT FILL IN REAVMU OUTLINED PORTION ONL
B NAME �/I1i/ / ,�, ;�J JOB
ADDRESS
LOCALITY ,� J
ADDRESS r
J � v � NEAREST
0, �SCITY TEL rN y� .[�_U�y CROSS ST
COUNTY
CERT No JI!/ Xi' ,J: EXPIRES d / J4 ✓E NAME
/ W -
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH 0
CITY TEL No
IAM TH`E LEGAL POSS SOR OF lHE ABOVE L
'
ANGELES COUNTY CERTIFIC�Eq�U110
PLUMBER
IAM THE LEGAL,OWNER OF THE PROPERTY DESCRIBED
AlOVE
OWNER
1
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE
ROWER DISHWASHER 0
AVATORY REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
FLOOR SINK 'RAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL _ APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
—METER—GAS SODA FOU T N GAS PIPING
OUTL
GAS VENT
CESSPOOL _
TOTAL NUMBER OF FdXTURES SEPTIC TANK
CESSPOOI f4EPTIC TANK 1 SEWER
$ I /
I UTILITY CO NOTIFIED
TOTAL FEE _ me I a §
FINAL