HomeMy Public PortalAbout5618 GRACEWOOD AVE_Plumbing__ D.B.S.-i; 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT 01' BUILDING AND SAFETY
COUNTY OF LOS ANGELES PL���� �
Wm. J. FOX. CHIEF ENGINEER 6,,6 9/
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONEPERMIT NO.
.5--
R000H FIXTURES COMPLETE I
HEATER CESSPOOL
I-1SEPTIC TANK RES6FIRED BY READY FOR DATE ISSUED
FIRST INSPECTION
•mss
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME i ADDRESS
W
B ADDRESS LOCALITY
f - ----------------
7 NEAREST
IL - TEL.No. CROSS ST.
.J CITY — —---
COUNTY
CERT.No. EXPIRES K NAME
W ---------- —
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS
NORTH
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
-- PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
1
el
OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
BATH TUB FURNACE (�
_ _ H
''-SHOWER DISHWASHER Q
t _ LAVATORY . REFRIGERATOR _
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
"LOP SINK FLOOR DRAIN
\\// WASH TRAY URINAL APPROVALS
.�i�WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S N*.pE
'' \\ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING Y/ f
METER GAS "ODA FOUNTAIN GAS PIPING
OUTL I I
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES ' SEPTIC TANK I i
CESSPOOI SEPTIC TANK SEWER i
UTILITY CO.NOTIFIED I I
TOTAL FEE
FINAL
D.B.S.17 25M SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
HATER CESSPOOL
-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS I MISCELLANEOUS SNOWS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME ADDRESS
M
® ADDRESS LOCALITY
3 NEAREST
.J CITY TEL.No. CROSS ST.
A
COUNTY
CERT.No. EXPIRES K NAME
III
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE
Q.'
SHOWER DISHWASHER O
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 GAS PIPING
OUTL
GAS VENT I I
C ESISPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOO EPTICTANK SEWER I I
$ UTILITY CO.NOTIFIED
TOTAL FEE
�� FINAL