HomeMy Public PortalAbout5950 AGNES AVE_Plumbing__ D s s 17 2aM SLTS 12 ,) APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE'T'Y
COUNTY OF LOS ANGELES PLUMBING 1
Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES COMPLETE _67 //
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HEATER CESSPOOL TANK R EIVED BY READY FOR DATE ISSUED
/ FIRST INSPECTION
GAS MISCELLANEOUS I-I BEPTIC
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY q
NAME R A G O R H R e� JOB- ADDRESS /.o
ADDRESS l�F�� �� ��G�/Ir'+� LOCALITY � �
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CERT No TEMPLE C I E I NAME �vv
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LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH U
CITY TEL NO
I AM THE LEGAL POS SSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI A OF UALIF�CATION
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRI D
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Ip
OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE H
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETES GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I i
CESSPOOLSSEPTIC TANK Q SEWER
I S
UTILITY CO NOTIFIED
TOTAL FEE / �
A � / J'
FINAL
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76A667 17 11 49 APPLICATION FOR PERMIT
DEPARTMENT OF BIIILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
D R113RP Z
FOR APPLICANT TO FILL IN
MI I NU
-;7//24
PLUMBER R5jpEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL NOS &.,/ 2 ADDRESS Q
COUNTY J� rp LOCALITY
LICENSF NO 3 EXPIRES
NEAREST
PERMIT FEES CROSS ST }p
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) ADDRESS Oso $ ADDRESS YY�1L.
BATH TUB @ 0 SO CITY TEL NO
SHOWER @ OSO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 IAPPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN/SINK @ 0501 AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 501 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ O SO OF THE RESIDENTIAL PROPERTY D,EQCRIBED ABOVE e
WATER HEATER @ ❑ SOI _O SIGNATURE
PERMITTEE E
SLOP SINK @ 0501 1 INSPECTION RE RD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50 I
DISHWASHER @ 050
DRINKING FOUNTAIN @ O 5O I SO e- L
URINAL @ 0501 —1 L a r,47 TI i J
HOUSE SEWER @ O 50 I d 7 Z
MISCELLANEOUS �I 0
O
I
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 OD CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 I SEWER
PERMIT I 1 DD GAS TEST
TOTAL FEE $
UTILITY CO NOTIFIED n
� S�
FINAL Z� Q
L
DEPARTMENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
NATURE�OF INSTALLATION DISTRICT
No. GROUP No. PERMIT NO.
ROUGH Ali Y IO �/�v3�I
PLUMBING FIXTURES COMPLETE /Y !! TTT��-
CESSPOOL SEPTIC TANK
READY FOI( RECEIVED0 Y DASSU D
HEATER I FIRST I BPFC"-`J'tON
GAS I MISCELLANEOUS ��J /�TE���
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J CITY TEL�NO. /CROSST
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LICENSE NO�4- REG. NO zlt C NAME
LOCATION& SEPTIC TANK, OR CESSPOOL Z MAIL � ,D �a 1�
3 ADDRESS
NORTH O
i
CITYti-/'" �•-ij/ /TEL NO.
RRECTIONS
F
a �I
m
3 �
J
Q
SOUTH
DESCRIPTION OF WORK � o
BATH TUB FURNACE
___-SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
-FLOOR SINK RAND TRAP
SLOP SINK FLOOR DRAIN
i WASH TRAY __ URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER OUTL SODA FOUNTAIN GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURE
SEPTIC TANK
SEPTIC TANK
SEWER
CESSPOOL
PERMIT FEE 100 UTILITY CO. NOTIFIED
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TOTAL FEE � �FINAL �_���' � •'s