HomeMy Public PortalAbout4858 ENCINITA AVE_Plumbing__ T
D 9 S 17 25M SETS 12 44 - ' APPLICATION FOR PERNaT
DEPAR_ TMENT'OF BUILDING AND SAFETY"•- PLUMBING
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COUNTY OF LOS ANGELES
Wm J FOX. CHIEF ENGINEER T
NATURE OF INSTALLATION q DISTRICT NO GROUP ZONE PERMIT
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ROUGH FIXTURES COMPLETE I Sl 4 ?IDl • 3 5
HEATER CESSPOOL I-I SEPTIC TANK REC Vp BY READY FOR DATE ISSURD
FIRST INSPECTION
AS MISCELLANEOUS Alto
APP I ANT FIL rIN HEAVILY OUTLINED PORTIONJONLY
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NAME ADDRESS
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ADDRESS LOCALITY
m ` NEAREST
-1 CITY TEL NO CROSS 8T '
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COUNTY +
"CERT No. EXPIRES NAME lot
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL =
3 ADDRESS Q 1 '4
NORTH O
` CITY I effzmo�TEL No '
1 AM THE LEGAL POSSESSOR OF THR, ABOV LOS
ANGELES COUNTY CERT112 4 TE OF QUA I$C bN
PLUMBER
' 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED,
ABOVE
' � • -• e - �1 ` ` ` OWNER
3
CORRECTIONS
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DESCRIPTION OF WORK
ATH TUB FURNACE
'
SHOWER; , DIS WASHER
HER 0
LAVATORY _ EFRIGfiRATOR '
KITCHEN SINK WATER SOFTENER s S
.e FLOOR SINK SAND TRAP
LOP.SINK FLOOR DRAIN
WASH TRAY F URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN ' DATE INSPECTOR'S NAME
WATER+HEATER DENTAL LAVATORY ROUGH PLUMBINt3'
METER GAS RODA FOUNTAINI GAS PIPING
OUTL
' GAS VENT '.
- CESSPOOL �
TOTAL NUMBER OF FIXTURES �' SEPTIC TANK \/
f CESSPOOL SEPTIC TANK }, SEWER -
S ' UTILITY CO NOTIFIED
TOTAL FEE '
I
FINAL