HomeMy Public PortalAbout5039 ENCINITA AVE_Plumbing__ D B.$-17 25M SETS 6-48 I. , t - APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��� ���� 1
" COUNTY OFF LOS,LOS' ANGELESE
WM. J. FOX. CHIEF ENGINER
NATURE OF INSTALLATION "DISTRi I CT NO. I GR OUP zo -PER-Mo.
ROUGH FIXTUREB COMPLETE '
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL —I SEPTIC TANK FIRST INSPECTION
GAS -.M ISCELLANEOU /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
lz NAME G✓1/YC.-- ADDRESS
: ,ADDRESS �TQ �,[�(� LOCALITY C ��Im^16 Ls(sf I mo,
DNEAREST
C _CITY .� �f TEL.No. C_ CROSS ST.
COUNTY �—
CERT:No. EXPIRES m NAME
LOCATION OF'SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
• I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC F QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER _
CORRECTIONS
SOUTH
J
DESCRIPTION OF -WORK a
BATH TUB FURNACE ❑_
HOWER DISHWASHER ❑
' LAVATORY REFRIGERATOR
��. KITCHEN SINK__ WATER_SOFTENER_
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I'
METER GAS SODA FOUNTAIN GAS PIPING I "
OUTL
_ I GAS VENT /??
CESSPOOL I ee_*c_ Sol "El'V a,
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
L
CESSPOOL - SEPTIC TANK - 0 SEWER I t
UTILITY CO.NOTIFIED
TOTAL FEE 00 ' G
FINAL
D.B.B.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT,COUNTY OF-LOSS AND SAFETY,
ANGELES i T
WM.J. FOX. CHIEF ENGINEER LU B'N0
NATURE,OF INSTALLATION DIS Ic . GROUPI ZONE
/ PERMlT,NO.
ROUGH FIXTURES COMP[.ETH
HEATER CESSPOOL —I SEPTIC TANK RECEIVED'BY - READY FOR - DATE 1 rUE/D
- FIRST INSPECTION' ,-I 7
AS' MISCELLANEOUS
magnum
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
, NAME `'dp�1' ADDRESS �! -L?/7
p/7 �d
m ADDRESS
j/ p�I LOCALITY /m � L 6 I /
w NEAREST /� �� mgr
J CITY .p TEL'.NO. - C:20S8$T. fy,C+(/t��}}�I� J J
COUNTY' .m NAME ./�{. 447 AI _ //L
CERT. Y' EXPIRES
LOCATION OF SEPTIC•TANK, OR CESSPOOL. = MAIL '
3 ADDRESS 7
NORTH. O �+ � /nr
_ - CITY AF—MA NO.
IAM THE- L-EAAL POS8ES8OR/9F- THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 V OWNER _
"I CORRECTIONS
SOUTH
DESCRIPTION-OF WORK - Z-
BATH TUB' 1 FURNACE E9
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
' 'KITCHEWSINK"_ _WATER SOFTENER•
-FLOOR SINK SAND TRAP
LOP'SINK FLOOR DRAIN
WASH,TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN // DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUf3H PLUMBING I(9 I J
METERs'LGA8 aODAFOUNTAIN CTAS PIPING I
OUTL-
/ ,+ v
• _ f3A8 VENT
" A - CESSPOOL I -
TOTAL NUMBER OF FIXTURES- _ J SEPTIC TANK I I
�CESSPOOI SEPTIC TANK a - ' SEWER I r.
TOTAL FEE J �S� UTILITY CO.NOTIFIED I I
•• FINAL x -)A, -