HomeMy Public PortalAbout9530 LOWER AZUSA RD_Plumbing__ pqr25M S$TS 6-46 1 1 APPLICATION FOR PERAU +
lp"R� F AND
UNTY OFF LOS ANGELES
WM.J.FOX.CHIEF ENGINEER PLUMBING
-.l O T v .
+ ROUGH FIXTURES COMPLETE -77
HEATER CESSPOOL SEPTIC TANK READY FOR
' RECEIVED`' _ FIRST INSPECTION
DATE IGIOZD
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APPLlf,ANT FILL IN EAVILY OUTLINED PORTION ONLY
NAME ADDRESS 02 Z O
OO
E ADDR LOCALITY
2 j NEAREST
CITY EL No. 0 CROSS ST.
COUNTY
CERT No EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3
ADDRIIA
NORTH O .�
CITY TEL NO
1 AM THE LEdAL POSSESSOR OR THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OR QUALIFICATION
PLUMRRR
I AM THE LEGAL OWN OR TH_ CRISED
ABOVE (/
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CORRECOONS
SOUTH J
DESCRIPTION OF WORK i
ATH TUB FURNACE
MOWER DISHWASHER O
-LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER ,
-FLOOR SINK SAND TRAP
LOP BINK m^^R DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR'S NAME
WATER HEATER ^ENTAL LAVATORY ROUGH PLUMBING
ETES �°AS •^DA FOUNTAIN GAS PIPING
OUTL
GAS VENT
IS CESSPOOL p /�
TOTAL NUMBER
OF FIXTURES �! SEPTIC TANK
�'E88POOL�EPTICTANK 47�5� SEWER r
UTILITY CO NOTIFIED
TOTAL FEE
RIN
17126M SETS 12-46 APPLICATION FOR PERMIT
PARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �LV��'��
WN .1 FOX.CHIEF ENGINEER
t' NATURE OF INSTALLATION DISTRICT No GRO ZONE PERMIT NO
�. t'ROUGH FIXTURES _I COMPLETE •� ���"
+aHEATER' CESSPOOL SEPTIC TANK —r RSB BY READY FOR DATE 1SSU
.�_ FIRST INSPECTION /�/"* �p
G 8 ISCELLANWUS
: .> APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NANB
ADDRESS I
B
ADDRESS 16 LOCALITY
d NEAREST
CITY TEL No CROSS ST.
` COU
CERT NO EXPIRES NAME
LOCATION OF SEPTIC TANK, OR C OOL 3 MAILADDRINS
NORTH O
CITY ` TEL N
1 AN THE LEG POSS R OR A
4
ANG
COUNTY C 1 For QU A
,
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YRIRt
r.r 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIB
' ABOVE
OWNER
CORRECTIONS
FiX -e a-Ata AI
- r If
M SOUTH
DESCRIPTION OF WORK
ATN TUB FURNACE '
' OWER DISHWASHER i.LAC
VATORY REFRIGERATOR y��y
k
KITCHEN SINK WATER SOFTENER
OR SINK RAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER NEATER DENTAL LAVATORY
ROUGH PLUNGING
ETERGAS5MSODA FOUNTAIN GAS PIPING
GAS VENT
�• �m CESSPOOL I
TOTAL NUMBER OF FIXTURE 7
. SEPTIC TANK
ESSPOOL-----SEPTIC TANK SEWER
S UTILITY CO NOTIFIED' 13 v V d or b
TOTAL FEE
FINAL
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