HomeMy Public PortalAbout4814 AGNES AVE_Plumbing_11/21/1951_17912 fixtures 76ASW +7 a 50 15 APPLICATION FOR PERMIT
DER&M ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
FADDRES
A j / /
�./ �+.CJL� RECEIVED BY READY FOR DATE ISSUED
Y �� y+Y/s FIRST INSPECTION //BUILD NG
CITY �
TEL NO� d'• ADDRESS a
COUNTY '/
LICENSE NO 3101 EXPIRES 7 LOCALITY
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNIn
MAIL 3 J_
WATER CLOSET (TOILET) @ O 50 S ADDRES ��// C"7_�-+i/o
BATHTUB @ O 50 CITY �y� TEL NO
SHOWER Q O 50 I t HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALk COUNTY ORDINANCES AND
STATE LAWS REGULATING NG
s KITCHEN SINK Q O 50 I CERTIFY THAT PO ESSB THE ABOVE VALID LOS
LAUNDRY TUB R TRAY Q O 50 ANGELES COUNTY C OR t AM THE LEGAL OWNER
OF THE RESIDE TY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O 50 SIGNATURE
WATER HEATER Q O 50 I PE RMI E
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN@ O 50I �zy JAZ' �.r®
O
DISHWASHER Q O 501
IF
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 1 .J
HOUSE SEWER Q O 501 Q
Z
MISCELLANEOUS (�
I� O
APPROVALS
1 DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
1 1 GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OOI SEWER
PERMIT I GAS TEST
UTILITY CO NOTIFIED )J
TOTAL FEE
I � O
FINAL a'�