HomeMy Public PortalAbout5243 SERENO DR_Plumbing__ APPLICATION FOR PERWr
DEPARTNT O OF LOS ANGELEBSAF
XTY
COPLUMBING
WY J FOX.CHIEF ENGINE
NO
ROUGH ►DCTURES COYPLSTE �•
HEATER CESSPOOL EEPrICTANK READY FOR
R Y FMST INSPECTION DATi IYII
3-
APPLICANT FILL IN HEAVW OUTLINED PORTION ONLY A
NAMIC..Yenneg e e-7-7 ADOROS Q e71 o 1✓I-
G ADDRESS o At6C• LOCALRY ZR O s G 7'7'j oW V
CITY <77 N' TEL No S CROssr { •» eA D
sGRTTY IRO NANS
LOCATION OF SEPTIC TANK, OR CESSPOOL ADDRESS
m
NORM
CITY TEL
I AM THE LSBAL POSSESSOR OF THE ABOVE
ANGELES COUNTY
'CAQ'TIIFI OF DUAL[►
1" TI 1
F a
1 AY THE LEGAL OWNER OF I PROFSRTY DESC1I
ABOVE.
owHa
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACK �
rc
ROWER DISHWASHER o
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
R SINK GANDTRAP
SINK FLOOR DRAIN yi
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE 1NRrEQ10R a"Nff
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING Z � P�709, 4 4
ETEII_ GAS 90DAFOUNTAIN GAB PIPING
OUTL
OAS VENT
6a^� cESBPOOL
TOTAL NUMBER OF FIXTURESSEPTIC TANK
CESSPOO A9PTIC TANK SEWER
TAT
UTILE Co NOTIFIso
TOTAL FEE
12NAL
D" APPLICATION FOR PERffir
DEPARTMENT OF BUILDING AND SAFETY '
COUNTY OF LOS ANGELES
WN.J. PDX.CHIEF smalNm! PLUMBINGNATURE OF I
ROUGH FIKTURO COMPL RTZ OrC [J
NEATER COSPOOL SEPTIC TANKREADY FOR DATE ISSUED
FIRST INSPECTION
RAS IN
3-8—
APPLICANT FILL IN HEAVMY OUTLINED PORTION ONLY
IOD
NAME ADORM
ADDRESS LOCALITY
NEAREST ✓ P
L ,� TEL Mo CROSS
COUNTY
t d
RT No QPIRRO 6• NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL ADDRESS
NORTH O
CITY No
I AM THE LEGAL POBSOSOR CP THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OP q ALIFICATIam
yr
FLursslR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OPMOI
CORRECTIONS
SOUTH
DESCRIPTION OF WORK z
0
ATH TUB FURNACE
HOWEa DISHWASHER G
VATORY REFRIGERATOR
ITCNEN SINK WATER SOFTENER
R SINK AAHDTRAF
P SINK -FLOOR DRAIN
W/1SH TRAY URINAL APPROVALS
WATER CLOSET DRINENG FOUNTAIN DATE IN>r'scTORY MAKS
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING
KraRam SODA FOUNTAIN OAS PIPING
OUTL
OAS VENT
CESSPOOL v 7 A
TOTAL NUMBER OI RES SEPTIC TANK
COD EPTIC TANK SEWER
S UTILITY CO NOYIPIED
TOTAL FEE