HomeMy Public PortalAbout4843 AGNES AVE_Plumbing_9/14/1959 76A667 CES17 8 W
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RUILDING
JOHN A LAM M Coun gamier ADDRESS
CAOO&D GRffFIN Cp-t of B ddtng LOCALITY E CITY La A COUNTY.
FOR APPLICANT TO FILL IN NEARESTRT ZUSA RD
NUMBER FIXTURE OR ITEM
OWNER WATER CLOSET
RAM TUB MESS 8 AGNES AVE.
SHOWER CITY TEL NO
1 LAVATORY CONTRACTOR WANN PLUMBING
1 smx ADDRESS 872.5 NOMQUBLVD
DISHWASHER CITY LOS NIET05 TEL NO C(.21286
CONTRACTOR S STATE I$
LAUNDRY TUB REGISTRATION NO 15627 aC 6 COUNTY ❑
1 CLOTHES WASHER DISTRICT O G OUP I ZONE CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$$1 00 PER ITEM /�/�
7 08 FIYTU88 : 7ow ATE INSPECTOR S SIGNATURE
UNDER SLAB WORK -el-J7 ./--
PERMIT $ 2 00 ROUGH PLUMBING v
TOTAL FEE 00 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �""`�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST ��'�j
LICENSED AS REQUIRED BY LOS ANGELES COUNXY AND STATE OF s
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY f
SIGNATURE
OF PERMITTEE FINAL 6 2K/ A g yy
r Esi-Sr
®P ROBERT A WOOD
VALIDATION SUPERVISING MECHANICAL ENG R
H O CASH
'Pro 0636-, Au; 3 5 A 903