HomeMy Public PortalAbout5720 OAK AVE_Plumbing_10/10/1944_D.B. IY 25M BETS 12-43
1
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
PLUMBING
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION
DISTRICT NO,
GROUP
ZONE
PERMIT NO.
ROUGH I
FIXTURES I ICOMPLETE
I
HEATER
CESSPOOL I I SEPTIC TANK I',
RECEIVED BY
READY FOR
FIRST INSPECTION
DATE ISSUED
1
GAS MISCELLANEOUS
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME
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JOB •'� - I
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ADDRESS .-s(+•'!!�"IQ.J�r/ Xi./'
ADDRESS 'yai0 2- �,
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LOCALITY A ``.0 / J 11_l Ll ( l 1"
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NEAREST �y l e ,L '
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_ y CITY' (,J l - TEL. No.
CROSS ST. (/�^L L�"/i�.i �l h'/.
CERT.No. EXPIRES
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yCOUNTY
LOCATION OF SEPTIC TANK OR CESSPOOL
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NAME ( ��-!.•
MAIL
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O
ADDRESS
NORTH
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CITY TEL N
No
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I AM THE LEGAL POSSESSOR OF THE ABOVE
LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
F
a
OWNER
,,:.,...:,,oCORRECTIONS
IONS
C
SOUTH
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DESCRIPTION OF WORK
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BATH TUB
FURNACE
SHOWER
DISHWASHER
i
LAVATORY
REFRIGERATOR
KITCHEN BINK
WATER SOFTENER
-
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FLOOR BINK
SANDTRAP
GLOP BINK
FLOOR DRAIN
WASH TRAY
URINAL
APPROVALS
i
WATER CLOSET
DRINKING FOUNTAIN
_,
DATE INSPECTOR'S NAME
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WATER HEATER
DENTAL LAVATORY
', ROUGH PLUMBING I I
METER_GA9
SODA FOUNTAIN
i GAS PIPING
OUTL
GAB VENT
a
..a.N
SPOOL
TOTAL NUMBER OF FIXTURES I
SEPTIIC TANK
•
CESSPOOI
REPTIC TANK
SEWER I
Y.....I.. I
I
UTILITY CO. NOTIFIED -
TOTAL FE E
I
FINAL -
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