HomeMy Public PortalAbout5123 AGNES AVE_Plumbing_8/1/1950_ 7CA667 17 9 49
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR AP ICAtff TO FILL IN DISTRICT-NO GROUPI ZO E PERMIT NO
PLUMBER � RMy READY FOR / DATE ISSU
FIRST INSPECTION _ •�"
ED
ADDRESS � 1� � ��
yaj,�.-,s_ -•��g,Q BUILDING
CITY15 TE 7�0 ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER M-10 06
MAIL
WATER CLOSET (TOILET) @ O 50 I S ADDRESS
BATH TUB @ O 50 I� CITY
I TEL NO
SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O Sol APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O Sol STATE LAWS REGULATING PLUMBIN -,k
I OVE CERTIFY THAT 1 POSSES HT
E ABVALID LOS
F::4LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNT NSE O M F4E/f LEGfQ� QWNER
OF THE RESIDE SRT ES R 9d,ABOVE
GAS SYSTEM OUTLETS @ O 501
SIGNATURE OF
WATER HEATER @ 0 501 PER MITTE
SLOP SINK @ o so I INSPECTION RECORD
FLOOR SINK @ O s0
FLOOR DRAIN @ 0 Sol
DISHWASHER @ O 501 1
DRINKING FOUNTAIN @ O SO
RINAL @) O 501
J
HOUSE SEWER @ O 50 I Q
Z
MISCFLLANEOUS 0
1
I
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
I� GAS VENT
CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK I I SEPTIC TANK / // '
I DRAIN ( ) PIT ( ) @t 00 I SEWER ��/ -.
PERMIT 1 00 GAS TEST
IUTILITY CO NOTIFIED I /TOTAL FEE I $ I I FINAL
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