HomeMy Public PortalAbout9016 RANCHO REAL RD_Plumbing_4/24/1944_71476 D.E. IT 25M BETs 12=43 APPLICATION FOR PEIPHT
(DEPARTMENT OF BUJIDING AND SAFETY
COUNw__'W OS ANGELES
WM.J.•FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DIS'TRI NO. GROUP ZONE PERMIT NO.
ROUGH 1,+'� FIXTURES COMPLETE
HEATER CESSPOOL I.SEPTIC TANK REC IV. Y . FIR TE 1N PE'TICK. ATRISSUED
AS J MISCELLANEOU
APPLICANT FILL IN HEAVILY OUTLINED
ylllp�B'� ON
C NAME / �J�. ADDRESS
ADDRESSE/y 1r.;Y�' ��} S ` / LOCALITY t..CrB n
p rNKARZST i
9. CITY
T. NO� d n A / CR 068 ST..
COUNTY ES J Gy
CERT.No. 133 7 EXPIRGU 6 NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL ,Z MAIL
NORTH O. ADDRESS
CITY
1 AM THE LEGAL POSSE990 ,O WA OV
ANGELES COUNTY CERTIFIC VE
- P�t1P99
I'AM THE LEGAL OWNER OR THE PROPER DESCRIBED
ABOVE. {�
3 OWNER
CORRECTIONS
SOUTH
l (DESCRIPTION OF WORK z_
ATH TUB FURNACE fl
SHOWER DISHWASHER_ O
AVATORY REFRIGERATOR
-KITCHEN SINK. WATER SOFTENER
FLOOR SINK AND TRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY' URINAL APPROVALS /
WATER CLOSET DRINKING FOUNTAIN DATE I eP R'B.NANZ
WATER HEATER DENTAL.LAVATORYI fj�
ROUGH PLUMBING
ETER �0GAB SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I
//{{ CESSPOOL I
TOTAL NUMBER OF FIXTURES 4r6 SEPTIC TANK. i
CESSPOOL SEPTIC TANK SEWER _
$ UTILITY CO.NOTIFIED
TOTAL FEE � � FINAL