HomeMy Public PortalAbout5928 CLOVERLY AVE_Plumbing__ D B S-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��� �'��
COUNTY OF LOS ANGELES
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT GROUPI ZONE PERMIT O.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL1--i RECEIVED B - READY FOR DATE ISSUED
SEPTIC TANK FIRST INSPECTION
A& MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB //♦/ ,/�
lz ADDRESS
W j! ,/
ADDRESS /�f LOCALITY f4A473L-F
_NEAREST 11
.J CITY TEL No C'4088 ST h ► l Jl�6�S
COUNTY
CERT No EXPIRES 11 rsrz,►t IAl�
Y MAIL NAME _
LOCATION OF SEPTIC TANK, OR CESSPOOL
3 ADDRESS 9
NORTH O
CITY 7-�+5 AdlTEL No A1-lG-:RB
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
i
PLUMBER
I AM THE LEGAL OWNER OF,THE PROPERTY DESCRIBED
N ABOVE
y O!�Ll x
W OWNER
i
CORRECTIONS
SOUTH
J
I v'/ DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
/ WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME
GAS
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I �1~ ���/q6
METER OUTL SODA FOUNTAIN GAS PIPING L� G I MA/I/WI
GAS VENT
C CESSPOOL
J'
TOTAL NUMBELOF XTURES SEPTIC TANKCESSPOOL_ EPTIC TANK !_ SEWER -
A O UTILITY CO NOTIFIED I I
TOTAL FEE
N�
2
FINAL