HomeMy Public PortalAbout5321 LOMA AVE_Plumbing__ 25M SETS 11-46 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 H COMPLETEHEATER CESSPOOLSEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME ADDRESS
W
m ADDRESS LOCALITY
NEAREST
'J CITY TEL.No. CROSS ST.
L
COUNTY
CERT.NO. EXPIRES W NAME
III
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS
NORTH O
CITY TEL.No.—
IAM
o.IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a
3 -Si OWNER
CORRECTIONS
F
SOUTH J
DESCRIPTION OF WORK _z
BATH TUB FURNACE 9
[Y
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
METER GAS SODA FOUNTAIN GAS PIPING i
OUTL 1J
GAS VENT I 1
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK i
_CESSPOOL________SEPTIC TANK SEWER
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL