HomeMy Public PortalAbout4935 ENCINITA AVE_Plumbing__ -D.S. 17 25M'BETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm.J. FOX. CHIEF ENGINEER PpoLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH _ FIXTURES _ COMPLETE _ 5 151 F5
HEATER CESSPOOL ( � SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION s
GAS- MISCELLANEOUS �
-44
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ,
NAME ( r JOB
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a CITY TEL.No. CROSS ST. A
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CERT.No. EXPIRES W NAME _
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL �
ADDRESS
NORTH NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA E OF QUALIFICATION.
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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`s i OWNER
Y CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE 9
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SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'$NAME
WATER.HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER I ,�
$ UTILITY CO.NOTIFIED
TOTAL FEE l t®� loo FINAL Q l/�d CL � N ir' f'-L y