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Home My Public Portal About5815 OAK AVE_Plumbing__ Dog 17 f0 BB APPLICATION FOR PLUMBING PERMIT 1 BB 17 DPMON OF BUUDMG AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING K c,& JOHN A LAMBIE COUNTY ENGINEER ADDRESS VV f CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY I FORr�yAPPLICACNT (T/.�O FILL IN NEAREST S V N AS- a K OWNER //f��T//[[ N. [�1\( DISTRICT NO GRTOUP ZONE READY FOR INSPECTION MAIL ADDRESS 64 1 y 1 � N D STDUSTRIAL CITY iTi -` �7'1 TEL NO �L 1' / WASTEAPPROVAL PLUMBER K INSPECTION RECORD ADDRESS CITY TEL NO LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB $1 00 SHOWER @ $100 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK @ $I 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $t 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT ; 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 A OPERLY R ISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LO A ELES COU TY AND STATE OF CALIFORNIA OR THAT 1 AN LEGAL W R OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PR Y SIGNATURE OF PERM ITTcm?1dr& FINAL Ila JOHN A LAMBIE COUNTY ENGINEER VALMATIO ROBERT A WOOD CHIEF PLBG INSPECTOR x,1 26o5v M►2iM0 3 � 200 Q r eweeT Drs IT lose APPLICATION FOR PLUMBING PERMIT D � y DMSION OF BUMDMG AND SAFETY Ik Department of Comty Enower Comty of Lor ""I" BUILDING JST/S O +`T I JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING -rem M p/ e ct� LOCALITY r`�+ /�// L FOR APCPLICANT TO FII.L IN NEAREST CROSS ST 7"(J r OM1 T I M I' FODRESS1404ma" C LL+ S NND DISTRICT NO GROUP I ONE I READY FOR INSPECTION rI/ !ry/ ? w 1�J INDUSTRIAL CITY M 5(tk TEL NOA7137"/ WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS %1 CITY TEL NO LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ft 00 $ "� J4 BATH TUB @ S1 00 SHOWER @ $1 00 LAVATORY (WASHBASIN) @ $100 .. KITCHEN SINK @ $100 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $100 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 + GAS SYSTEM @ $100 ... APPROVALS DATE INSPE OR S SIGNATURE UNDER SLAB WORK PERMIT $ I 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP ICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT 1 A OPERLY REGISTERED AND/OR GpST TEST ^Z, LICENSED AS REQUIRED BY L GELES COUNTY AND STATE OF 1 CALIFORNIA OR THAT LE L O ! R OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDEN RTY SIGNATURE ti M OF PERMITT6 FINAL JOHN A LAMBIE COUNTY ENGINEER VAIMATI ROBERT A WOOD CHIEF PLBG INSPECTOR CIL r e C118H LI&O 3 7:>r O at1 a V APPLICATION FOR PLUMBING PERMIT 1 I7 DIES 76A17 Io sa VISION OF BURDBIG AND SAFETY Depu rbuent of County Engineer County Of Los Angeles BUILDING I�O JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF 13UILDINo 71 LOCALITY FOR APMCAM TO FILL IN c ARE T ✓Ai .f OWNER G aS A ,f NU DISTRICT NO GROUP ZONE READY FOR IN°PRCTION MAIL 50 X AP Z ADDRESS ;240 # I INDUSTRIAL I CITY EL NOafV3 7 WASTE APPROVAL PLUMBER INSPF nON RECORD ADDRESS vplAkmA► CITY TEL NO tee. LICENSE N NUMBER TYPE OF FIXTURE OR ITEM FES WATER CLOSET (TOILET) @ $100 $ ! BATH TUB @ $1 00 SHOWER @ $100 .. LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK @ $100 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $100 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 GAS SYSTEM @ $100 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ I 1 O0 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AN EG L OWNE OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL P Y SIGNATURE OF PERM ITT FINAL JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CR M e „ GSH 6IRA194 s 2 E�`n 2 5 3 700 m I � J D135Is 10 as APPLICATION FOR PLUMBING PERMIT 1 DBs 1 DIVISION OF BUUDMG AND SAFETY Deptatmeat of Couatp EngfneBr COl O;' � lAB AagAll6 BUILDING / JOHN A LAMBIE COUNTY ENGINEER ADDRESS ow CASSATT D GRIFFIN SUP T OF BUILDING r ►L LOCALITY h . r FOR APPLICANT TO FILL IN NEAREST r ]C CROSS ST OWNER �r�+ DISTRICT NO GROUI ZONE READY FOR INSPECTION MAIL t?_ ADDRESS INDUSTRIAL CITY Its TEL NO WASTE APPROVAL PLUMBER 0 INSPECTION RECORD ADDRESS A70000'VV —0' CITY TEL NO LICENSE NO NUMBER TYPE OF FIXTURE OR Yl'EM FEE WATER CLOSET (TOILET) @ $1 00 S BATH TUB @ $100 SHOWER @ $100 LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK 0 $100 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $100 0 SAM APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ I 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES ( SL I HEREBY CERTIFY THAT I PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY no S COUNTY AND STATE OF CALIFORNIA OR THAT 1 ML W R OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL SIGNATURE OF PERMITFINAL J®HNA LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR aE M o sN Law4027 �11� 3 300 is 78ASS7Cf.A17 a 112 TEMPLE CITY ob r I { APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTN�NT OF COUNTY ENGIIVEER BDD.DINc BJOHNIAG AMBIESCO �iv ENE�N ADOREss WILLIAM A JENSEN SUP T OF 13UILDIMG LOCALITT FOR APPLICANT TO FML IN �8 NUMBER FIXTURE OR ITEM EACH FEE 0,2 OWNER � WATER CLOSET alas BATH TDR 125 ADDRESS I� SHOWER 125 CITY TEL LAVATORY 125 CONTRACTOR SIN= 125 ADDRESS t DISHWASHER 125 CITY TEL NO '� LAUNDRY TOS 125 REGIS�TRAAn NO COUNTY CLOTHES WASHER 125 DISTRI NO GROUP NE P OC D BY WATER HEATER ISO Z GAS SYSTEM OUTLETS I M WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 00 INSPECTION RECORD O s y O Lu W a N Z t APPROVALS DATE INSPECTOR S SIGNATURE PERMIT S 2100 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM HE 'EGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DE RIB RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTE �—I cz 2e, FINAL VALIDATI� ROBERT A W OD CK M o CASH SUPERVISING MECHANICAL ENG R LAG0405 APR30 5 D 325~ I I -re-04 PLC G Y 76A667 CEIl817 10 62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEEII BU7Tem-ple BUILDING AMNB�SNTYY DIVISION ER ADDRESS1 Oak Ave. WILLIAM A JENSEN SUP T OF BUILDING LOCit FOR APPLICANT TO FILL IN NEARESTNRLas s Tunas NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 8125 OWNER Charles R. Hand BATH TUB 155 ADDRESS Same sxowER 155 CITY Same TEL NO AT 9-3759 LAVATORY 155 CONTRACTOR pacific Installers SINK 125 ADDRESS 10920 E Grand DISHWASHER 125 Crnr TEL No 443-6905 LAUNDRY TUB 125 REGISTRATION NO 2118 8 COUTNTY U CLOTHES WASHER 125 t DIST ft NO GROUP ZONE PROCESSED BY WATER HEATER 150 1 50 6•� I Z GOLo vK(� i=ft ' I INDUSTRIAL AAPPROVAL '0 OUTLETS OVER 5 PER SYSTEM PECTI N O a V 1119C pW, M Z t t APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 0 GAS PIPING I HEREBY ACKNOWLEDGE TNAT 1 HAVE READ THIS APPLICATION GAS VENT 1 AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO 1 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED LLOF ATRE PERUMITTEE / FINAL l VALIDATION ROBERT A CK M O CASH SUPERVISING H NICAL ENG RR ALO 2 4 5 5 2 PAR 2 5 5 D 350 - 7 .817 10.62 - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINJOHN AG AA E SAFETY DIVISION B UILDING ,51 Oaks St. WILLIAM A. JENSEN, SUPT OF BUILDING ER Y City FOR APPLICANT TO FILL IN T. NUMBER FIXTURE OR ITEM EACH FEE OWNER 1 WATER CLOSET v 31.25 MAIL Ha ;411 %f BATH TUB ✓ 1,25 l025ADDRESS 202 B N. 2nd St, SHOWER. 1.25 CITY TEL. NOAt.93759 LAVATORY 1.25 l 2 CONTRACTOR Pacific installers SINK ` 1.25 ADDRESS 10920 R. Grand DISHWASHER 1.25 CITYTeximle City TEL. NO. 4434905 CONTRACTOR'S GISTRATION NO. 211,8 8 STATE LAUNDRY TUB 1.25 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY 7 WATER HEATER r 1.50 L50 x+ 1� T Z .� Dov icok GAS SYSTEM OUTLETS 1.50 JNDUSTRIAL O ;WASTE AP ROYAL OUTLETS OVER 5 PER SYSTEM .30 V \,IN CTION RESO Alfl o .- v o- 7'� 1 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING, I t0, �` ''� TOTAL FEE 7 -25 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1 PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,A D INTEND TO RESIDE IN,THE ABOVE DESC IBED REBID PROP Y. UTILITY CO. NOTIFIED i SIGNATURE l' OF PERMITTEE FINAL VRLIDA ROBERT A WOOD CK. M.0. CASH SUPERVISIN MECHANICAL ENG'R 5 3 4 2;"o' i"YiY ' '5 D 7.r N t I� 7SAB8 4=17 8-59 1 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BU LA C�TTAD GNRESW1Snpt ZW LOCALITY ./ C �r l-c FOR APPLICANT TO FILL IN NEAREST I CROSS ST [ 7e,,*l4 ,f NUMBER FIXTURE OR ITEM OWNER C N WATER CLOSET �ryry DRESS Zo RATE TGR CITY A � /J 4 !'WJ124 TSL NO SHOWER LAVATORY CONTRACTOR fa ✓ P 2 sm ADDRESS Try TEL NO DD3HWASHEB CONTRACTOR S STATE ❑ LAUNDRY TOS REGISTRATION NO COUNTY CLOTHES WASHER DISTRICT NO GROUP I ZONE PR ESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL EWMCTION RECORD � PER r= 8 FD[TUR APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 Jkm PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I A HE LE OWNER OF THE ABOVE DESCRIBED RESIDENTI P RTY UTILITY CO NOTIFIED SIGNATURE X = OF PERMIrMv FINAL Or VMMAT10X--"1%ROBERT A WOOD OK ■ 0 CAM SUPERVISING MECHANICAL ENG R R �'10""'�"� 'S°' APPLICATION FOR PERSIIT XRTOF BUILDING AND SAFETY COUN P�V��IN� COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER NATURE OF INSTALIATION DISTRICT NO7ZONE - - PERMIT NO0`0 ROUGH FIXTURES COMPLETE v / 3 o READY FOR HEATER CESSFoOL SEPTIC TANK RDATE I�UED IVY' FIRST INSPECTION r � FAS 1 ELLA UAPPLICANT FILL IN HEAVILY OUTLINEDPORTION ONLY Joe l DDRESS LOCALITY NEAREST TEL No CROSSST o 2-10014 11"IR � � NAME TT��jj • LOCATION OF SEPTIC TANK, OR CESSPOOL AMAIL DDRESS NORTHo CITY No IAN TILELE&AL HE ABOVE LOS ANGELES COUNTY C FICATION PLUMBER I AM THE LEGAL OWN F THE PROPERTY DESCRIBED ABOVE OWNER CORRECTIONS SOUTH J DESCRIPTION Or WORK Z F ATH TUB .._,T.FURNACE 0 R' MOWER _DISHWASHER Q VATORY REFRIGERATOR ITCHEN SINK .—._;WATER SOFTENER eLdOR SINK �S°ND TRAP -AILOP SINK - FLQOR DRAIN WASH TRAY —A�RIHAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE ROTOR AM e WATER H TER DENTAL LAVATORY ROUGH PLUMBING ETE oun SDA FOUNTAIN GAG PIPING —T— GAS VENT �." CESSPOOL ' TOTAL NUMBER OF FIXTURES 6 SEPTIC TANK ESSPOOL.-------aEPTIC TANK SEWER a S UTILITY CO NOTIFIED r TOTAL FEE FINALf D B 17 3.M RETS 72 43 APPLICATION FOR PER j DEPARTMENT OF BUILDING AND SAMM � �1 COUNTY OF LOS ANGELES p`�M��G �7 Wu J FOX CHIEF ENGINEER NATURE OF INSTALLATIONO PXRMIT No ROUGH FIXTURES COMPLETE 5 1 S I NEATER CEBSPOOL BEPTIC TANK 7CEIVED READY FOR DATE 1�UED (�J1� FIRST INSPECTION As MIH L N UH APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY d, NAME JOB ADD 40P tl ■ ADDRESS LOCALITY J NEAREST CITY .TEI. NO CROW ST COUNTY CERT NO V EXPIRES �' NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL NORTH O ADDRESS CITY TEL NO I AM THE LEGAL POSHEHHOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE OF QUALIFICATIO 1 y � PLu ..R I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER a_ CORRECTIONS - SOUTH J DESCRIPTION OF WORK _z BATH TUB FURNACE 0 R' ROWER DISHWASHER D —LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER -.FLOOR SINK SAND TRAP LOP SINK VLDDR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR.NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING1 6TER "G �+DA FOUNTAIN GAB PIPING oun pp GAS VENT 11 CESSPOOL TOTAL NUMBER OF FIXTURESa SEPTIC TANK �C=SPOOL------.OEPTIC TANK SEWER S UTILITY CO NOTIFIED TOTAL FEE FINAL D B 8 17 UBM BETS 10 47 APPLICATION sTION T.OR PERIKI f r DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� l� i'VAA�iLi COUNTY OF LOS ANGELES Wu J FOX CHIEF ENGINEER NATURE OF INSTALLATION ol9rml7o CARCUP I moms pwtmff No ROUGH FIXTURES I� COMPLETE I RECEIVED BY READY FOR DATE ISSU NEATER -H--CESSPOOL SEPTIC TANK FIRST INSPECTION � AS MISC NEO IQ APPLICANT ;? L IN HEAVILY OUTLINED PORTION ONLY C NAMB ADDRESS �J• �� r W � ® ADDRESS LOCALITY s w� NEAREST CITY / i TEL N w' CROSSST COUN o EXPIR 7 Q CERT NI ES a NAME (i(,,• LOCATION OF SEP" TANS, OR CESSPOOL z MAIL ADDREs6 NORTH O CITY TEL No 1AM THE/LEGAL ES OR OF THE ABOVE LOS ANGELES CO TY C C ARM'UA fICJ� PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _z ATH TUB FURNACE L7 ROWER DISHWASHER 13 LAVATORY G REFRIGERATOR ITC�HEEN SINK WATER SOFTENER -FLOOR BINK SAND TRAP LOP SINK FLOOR DRAIN / FWAFATER ASH TRAY URINAL APPROVALS Lm ATER CLOSET DRINKING FOUNTAIN DATE 1 P R s NAMB HEATER DENTAL LAVATORY ROUGH PLUMBING i ETER GAS SODA FOUNTAIN GAS PIPING I I OUTL GAS VENT t CESSPOOL I OTAL NUMBER OF FIXTURES SEPTIC TANK I K ESSPOO SEPTIC TANK SEWER S � UTILITY CO NOTIFIED TOTAL FEE U FINAL v A N S D B S 17 25M SETS 8 46 APPLICATION FOR PZJtXW ARTOBUILDING A �SAFETY CONT LOS NG PLUMBING WM J FOX CHIEF ENGINEER NATURE OF INSTALLATIONDISTRICT PERMIT ROUGH FIXTURES COMPLETE 4p �v 7 HEATER CESSPOOL SEPTIC TANKR jamIVSD HCS READY FOR D�ATN TISSUED C ' -IF,[ INSPECTIONINEE MI C LAN S G APPLICANT LIN HEAVILY OUTLINED PORTION 9NLY .TOB 3 C NAME ADDRESS B ADDRESS R LOCALITY j NEAREST L CITY TEL No CROGGST ,r COUNTY /J CERT NO EXPIRES 0�' NAME (/t LOCATION OF SEPTIC TANS, OR CESSPOOL = MAIL NORTH O ADDRESS CITY TEL NO IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION PLUMBER I AM THE LEGAL OWNER OFFjjTHE ,�..PROPERTY ��DESCRIBED ABOVE OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE o Cl Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER -FLOOR BINK SAND TRAP LOP SINK _FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR•HANE WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 3�-�� v R e S METER-----GAS CODA FOUNTAIN OAS PIPING I OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I �'ESSPOOL SEPTIC TANK x SEWER S 43 V UTILITY CO NOTIFIED TOTAL FEE FINAL