HomeMy Public PortalAbout9408 DAINES DR_Plumbing__ 1�g TI N
D.B.9r17 25M SETS 11-�46 APPLICATION FOR PERMIT
(DEPARTMENT OF BUILDING AND SAFE
COUNTY OF LOS ANGELES
Wm.J. FOX. CHIEF IINCIINEER PLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL -I SEPTIC TANK R D B READY FOR DATE IS8 ED'
/ FIRST INSPECTION
AS- MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
It ' NAME ADDRESS
W
m
ADDRESS. c PeeLOCALITY
g'
D NEAREST
.J CITY TEL.No. CROSS ST. NJ
tL
"COUNTY - ;/
CERT.No. EXPIRES m NAME W.
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS o
NORTH O' �j 99
CITY (� TEL.No.
I AM THE CEG POBSIISSO OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF HE OPER TY DESCRIBED
ABOVE. C
m
iizOW HER -
CORR CTIONS
e
//P7 1-41'/7 — /17- Y716
SOUTH
J
IDESCRIPTION OF WORK
BATH TUB FURNACE
<Y
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL,LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I
_ CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK" SEWER I _e/
$ UTILITY CO.NOTIFIED I Z /y C
TOTAL FEE
FINAL