HomeMy Public PortalAbout5038 DOREEN AVE_Plumbing__ D.D.B.17 25M BETS 12-44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��� �� �
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI NO. GR-OU/P zo E - PERMIT NO.
ROUGH FIXTURES COMPLETE � v � � * ��
fiiVED BY READY FOR DATE ISSUED_
HEATER CESSPOOL —I SEPTIC TANK I FIRST INSPECTION L=�_ /`
GAS MISCELLANEOUS v •T�hJ
APPLICANT
/FILL IN HEAVILY OUTLINED PORTIO/1�N ONLY /f
[7,-. ER
o,t c _e y�O///. ADDRESS DU ' I / �/ ,1L C
S' . ,Y/ S �C�/ LOCALITYNE
TEL.NO CR089ST.. ��� EXPIRES NAMEI
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL a '
3 ADDRESS
NORTH O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE-ABOVE LOS
ANGELES COUNTY CERTIFICATE OFF/QUUACIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
R
O OWNER
•1 CORRECTIONS
a
SOUTH a
DESCRIPTION OF WORK
MATH TUB FURNACE
z
:�1 O
SHOWER DISHWASHER
LAVATORY REFRIGERATOR -
ITCHEN BINK WATER SOFTENER - �
FLOOR SINK SAND TRAP
SLOP SINK PLOOR DRAIN
WASH TRAY URINAL - APPROVALS
' WATER CLOSET DRINKING FOUNTAIN DATE IMBPECTOR'B NAM[
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS.VENT
/.,�./fI CESSPOOL I I
TOTAL NUMBER OF FIXTUREB / `'V SEPTIC TANK
CESSPOOL SEFTICTANK - SEWER I N 1`
AA p J��
® UTILITY CO.NOTIFIED I �j}JI >, h\\
I TOTAL FEE I / A FINAL ,I Il' �� % ,