HomeMy Public PortalAbout9943 LOWER AZUSA RD_Plumbing__ a 17 2&M alrrD 12-43
D APPLICATION FOR PERffiT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES p����'�G '
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATIOND . !rri !Z �JN MMIT NO.—
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANKR READY FOR DA ISS
MISCIbLANKOUS
FIRST 1yNBP�C'��N
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOBnow
ADDRESS LOCALITYNEAREST
1
�I CITY 6L No ROSS ST.
COUNTY EXPIRES
CERT NO - 6' NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 'Z MAIL
NORTH O ADDRESS
CITY TBL No.
I AM,�TTHE LEGAL
POSSESSOR OR THE ABOVE LOS
ANGA' NTY� t ATB OF CUALIFICA N.
r t
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESC BED
Aeovs.
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
a
ATH TUB FURNACE lz
HOWER DISHWASHER 13
--LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
_FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
::YWATER CLOSET DRINKING FOUNTAIN DATE INe R•S NAME
_WATER H 6R DENTAL LAVATORY ROUGH PLUMBING
liT� S�+DA FOUNTAIN OAS PIPING
oun
OAS VENT
CESSPOOL
I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CE88P00� SEPTIC TANK SEWER
8 UTILITY CO NOTIFIED
TOTAL FEE
AL
D IL 17 25M Sere 12-+3 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY �����'�� 1
COUNTY OFF LOS LOS ANGELES
WM.J. FOX.CHIEF ENGINEER
A OF INSTALLATIONO
ROUGH FIXTUR68 COMPLETE
_ 6- - fpzRMIT
3
HEAT_EER _ CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
MISCELLANEOUS �r ` 0`
IN
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME ADDRESS
mADDRESW E
SS ut Colorado LOCALITY `
R Q
JasNEARKST
K CITY PSeadens 7@G-TTG. CROSS ST.
COUNTY
CERT NO EXPIRES NAME
LOCATION OF SEPTIC' TANS, OR CESSPOOL MAIL ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF B
THE ABOVE LOS
ANGELES COUNTY CERTIF�TE F QUALIFICATION.
A PLUMBER-�
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
01NNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATH TUB FURNACE
R'
SHOWER DISHWASHER
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
-FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'Y NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETKR GAS S^DA FOUNTAIN
OUTL OAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
INAL
I _ I CESSPOOSEPTIC TANK SEWER
TOTAL FEE
S UTILITY CO.NOTIFIED
R