HomeMy Public PortalAbout5933 CLOVERLY AVE_Plumbing__ 17 7-40 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUPZONE PERMIT No
ROUGH I I P11"-
PLUMBING PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED
HEATERi CESSPOOL SEPTIC TANK FIRST INSPECTION /
GAS MISCELLANEOUS AI,.— j--;26—"�`
A PLIC T1ILLJN H VILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS `
W
I ADDRESS LOCALITY
JNEAREST
a CITY T NO + CROSS ST
COUNTY� e
CERT O ® PIRESIK pIZ NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL o MAIL
o ADDRESS o
NORTH
CITY zftTELOdo
1 LW
AL THE L AL P SS R F THE ABOVE LOS
ANGELES COUNTYCERT CATE OF QUAwfIC ON
.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
I~!1 >
W i3 OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
z
BATH Tue FURNACE 0
SHOWER DISHWASHER Q'
0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METERGAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
$ / + D /� UTILITY CO NOTIFIED l
TOTAL FEE v FINAL