HomeMy Public PortalAbout5917 OAK AVE_Plumbing__ on w sM sere s-s6 APPLICATION FOR PERMIT -
DEPARTMENT OF BUILDING AND SAFETY
COU �����'�� +�
COUNTY OF L03 ANGELES
Wu J FOX CHIEF ENGINEER
NATURE OF INSTALLATIO DISTRICT GRO P ZONE PERMIT
ROUEN FIXTURES _I COMPLETE �. a. G c c/
NEATER CESSPOOL SEPTIC TANK R ju V�B� READY FOR DATE ISSUED
��' C/ FIRST INSPECTION I �E
AS MIBCELLAN UB /- 7
4APRLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB
C ♦ ADDRESS � / •
B ADDRESS & LOCALITY
B
j NEAREST
tL CITY CROSS ST
COUNly
CERT No EXPIR NAME
LOCATION F SEPTIC TANS, OR CESSP L z MAIL
3 ADDRESS
NORTH O
CITY A T No
I AM THE LEGAL PQSSE R F T OVE LOS
ANGELES COUNTY CERTIFICA O UAL lOk
PLUNGER
I AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED
ABOVE
OWN=
CORRECTIONS
SOUTH .J
DESCRIPTION OF WORK z
ATH TUB FURNACE 6
ROWER DISHWASHER O
VATORY REFRIGERATOR
ITCHEN BINK WATER SOFTENER
—FLOOR SINK SAND TRAP
LOP SINK -FLOOR DRAIN
WARN TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INBPBCTOR 0 NANO
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
gTge aAw SODA FOUNTAIN
OUTL GAS PIPING
GAB VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
ESBPCC AEPiIC TANK SEWER
TOTAL FEE UTILITY CO NOTIFIED
FIN `2
DEPARTMENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMING
NATURE OF INSTALLATION DISTRICT No JOB No PERMIT No
ROUGH FIXTURES COMPLETE -7-
READY
�T
PLUMBING
NEATER CESSPOOL SEPTIC TANKL READY FOR IVED BY DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS , L ��
T H T E PORTION ONL
JOB
NAME AADDRESS
C
M ADDRESS LOCALITY 1
f IF
j CITYNEAREST
TEL NO s6 8 r' CROSS ST
R STATE COUNTY
LICENSE NO REG NOS NAME
DESCRIPTION OF WORK 3 MAIL.ADDRESS
o
BATH TUB FURNACE CITY�^ TEL NO
SHOWER DISHWASHER CORK TIONS
LAVATORY REFRIGERATOR _3
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL
WATER CLOSET DRINKING FOUNTAIN
WATER HEATER DENTAL LAVATORY
OASOUTL'�METER SODA FOUNTAIN J
SEPTIC TANK Z
CESSPOOL
E
O
TOTAL NUMBER OF FIXTURES
LOCATION OF SEPTIC TANK OR CESSPOOL
NORTH
W D
3 APPROVED
ROUGH PLUMBING INSPECTOR 8 NAME DATE
GAS PIPING 100,
GAS VENT 1*4
CESSPOOL
SOUTH SEPTIC TANK
INSPECTION FEE 'L„ SEWER
PERMIT FEE OZ> UTILITY CO NOTIFIED `
TOTAL FEE '{.�', FINAL
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