HomeMy Public PortalAbout9447 LA ROSA DR_Plumbing__ D.B.17,5M SETS 4-43 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.
6� / Imo/ � / a 73
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
AD / ('
� NAME �.�„ V- � ADDRESS .2-JO V U
ADDRESS /3 9 '� / (A.�BF /434 Q� LOCALITY pJ
LL _ CITY ` �- TEL.No 7 CROSS 8T.
COUNTY A,, - `
CERT.NO.`�l� EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH O ADDRESS ,,ma�yy
CITY a" TEL.No. .r?
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI ATE OF QUALIFICATION.
' PLUMBER
I AM THE LEGAL OWNER OF T��PROPERTY DEB IBED
ABOVE.
F
W D
�? OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
BATH TUB FURNACE 13
®—SHOWER DISHWASHER 0
O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
--FLOOR SINK 4AND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE I
NSPEC
T
OR
'S-NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
d METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOI SEPTIC TANK SEWER
UTILITY CO.NOTIFIED
�
I TOTAL FEE ��
FINAL