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D:s. » 121-43-asM aeTs121-43-- - � APPLICATION-FOR PERMIT'
'DEPARTMENT'OF'BUILDING AND' SAFETY
t% COUNTY OF LOS ANGELES
WM.J: FOX.CHIEF ENGINEER PLUMBING 7
NATURE O INSTALLATIONDISTRICT NO. , GROU ZONE PERMIT- O.
_ - 2-6 1
�UGN FIXTURES' COMPLETE -
H ATBR CESSPOOL SEPTIC TANK READY FOR
RECEIVED Y..x. = DAT@'ISSUED
—� —- ,y; FIRST INSPECTION y 'f (Liz
x/18 Mi8CELLANE0U8. CCl�+ d U(d / r
APPLICANT'FILL IN HEAVILY OUTLINED POEMM LY
E NAME ,� Joe
ADDRESS
W r q
ADDRESS LOCALITY 1p�L�A•yf
j
U fv - NEAREST'
IL .CITY' TEL.No. CROSS ST.
COUNTY
' CERT.No. {/ EXPIRES-
NAME 14
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH O ADDRESS .. r/
CITY
1 AM THE 111,90AL ,POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLumsmt
I AM THE LEGAL OWN7&R COPROPERITrY DESCRIBED
ABOVE. P
I
3 OWNeit
`IIECTIONS n
I 1W
- - r ted.:•-R %E ,�I i! -
SOUTH - .�-��1" A- < A �A�.iU a
DESCRIPTION OF WORK � /� v � (/Y z
BATH TUB FURNACE
— SHOWER DISHWASHER (J•C/V �Il O
7 AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP_-SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
// WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAMa
�LWATER NEATER DENTAL LAVATORY
..�. i •,
METER AS /`�l
SODA ROUGH PLUMBING Ifi!�
OUTL GAS PIPING. J�:
GAS VENT' I
- CESSPOOL 1..
TOTAL NUMBER OR FIXTURES SEPTIC TANK I O •�I
_ 7r7!_
CESSPOOI 8EPTIC TANK' n SEWER IA i
•S
'7 6 UTILITY CO.NOTIFIED /f s•7 .�.,�
rl �%►• . r. rt
TOTAL' FEE'
• �— FINAL I '
D.B. 17 SSM BETS 12-43 APPLICATION FOR,$ PES
DEPARTMENT OF BUILDING AND SAFETY !
COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION 01sT i NO. GROUP ZO E P RMT. O.
3 -- 8533
ROUGH- FIXTURES COMPLETE _
READY FOR
HEATER CESSPOOL7. SEPTIC TANK RECEIVED BY DATE'ISSUED
�. FIRST INSPECTION
AS- MIBCELLANEOU Grf I/' __il44
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY _
NAMe �q i JOB l 01�E
C ��/t/' 'i .ADDRESS .r„ C
ADDRESS �J//i. I LOCALITY I P /
NEAREST r ).n� f•
16 ._CITY TEL.No: L•' CROSS ST.
COUNTY /�
CERT.No... EXPIRES .NAME L.:_ , C D L L J �k
LOCATION OF SEPTIC TANK, OR•CESSPOOL• Z .• MAIL T�
NORTH I O ADDRESS �� -/J�1 4
CITY TEL.No..
1 AM THE LEGAL POBBESfiOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
i
PLUMBER
I AM THE LEGAL OWN_ N ROPERTY DESCRIBED
ABOVE. l7/�iLf/
l OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
_ BATH TUB FURNACE ., r�..,'^..� �•-f--� lf,C.�„�eY�i ,�
SHOWER' DISHWASHERIj
AVATORY REFRIGERATOR 0.�'V/' yf I Lv 1- 2 I i,1l l (ate 1 Ili
• KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE ir
N9PRCCTOR'9 MAKE
HEATER CENTAL LAVATORY
ROUGH PLUMBING ! v
METE AS i0DA FOUNTAIN 9
OUTL GAB PIPING I \\ I
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES ,j ,�'(� _ I SEPTIC TANK I
CE88P00, aEPTICTANK• SEWER
j S UTILITY CO.NOTIFIED
7/'� r
TOTAL FEE 3 fly z) 3 r.7 Q : '. FINAL' _: !• �r's U t.
D.B. 77 zeM BETE ,a-aa APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING '
WM.J.FOX.CHIEF ENGINEER
NATURE OF .INSTALLATION DISTRICT O. GROUP li ONE PERMIT NO.
ROUGH' FIXTURES COMPLETE �. .. —^ I 360
HEATER CESSPOOL I—I 8EPTIC TANK RECEIV BY READY FOR DATE.ISSUED
n /�/ FIRST 118PECT10N J,
GAS- M18CELLANEOUS / Low //_ - . --'V&
APPLICANT FILL IN HEAVILY OUTLINED.PORTION ONLY
p
�/11 'J,� .
JOB
tC N ME .I7Jwo 1' /Y/Y,2/fJ.�. / ADDRESS` r'•
m ADDRESS//j/l AVQi/f�L�/p_ 9 LOCALITY
� Z vTs—
j d TR0
NEAREST
0 _CITY A'��i,f+�! �!i`�yn�� EL..NO. C86 ST.
COUNTY (,I ,'�
CERT.No. EXPIRES m NAME - . A=.
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH O ADDRESS
CITY TEL.NO'.
I AM THE LEGAL POSSESSOR 'OF THE ABOVE LOS
ANGELES COUNTY CERTIFI TE OF QUALIFICATION.
� //7/ s3
PiuleBEs
I AM THE LEGAL OWNER OF THE..PROPERTY DESCRIBED
ABOVE.
"3 OWNER
CORRECTIONS
SOUTH ,I
DESCRIPTION OF WORK _z
BATH TUB FURNACE m
MOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND'TRAP'
r-- Z�-z
LOP SINK FLOOR DRAIN
ASH TRAY URINAL APPROVALS
ATER CLOSET DRINKING:FOUNT.AIN
DATE ..INSPECTOR'S NAME
ATER HEATER DENTAL LAVATORY I I
ROUGH PLUMBING
ETER GAS a^DA FOUNTAIN
OUn GAS PIPING I
GAS VENT I
a CESSPOOL I
OTAL NUMBER OF FIXTURES SEPTIC TANK I
ESSPOO� SEPTIC TANK SEWER
S
TOTAL FEE t, UTILITY CO.NOTIFIED
.. FINAL