HomeMy Public PortalAbout4818 AGNES AVE_Plumbing_11/21/1951_17913 fixtures 7eASS7 17 5 ao 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT T,O-/FILL IN _- ) DISTRICT NO GROUP I ZONE PE�'N3O
PLUMBESU Pel f D� /�Jr�TJ G✓`b✓/w RECEEIIVEEeDDBBY READY FOR DATE ISSUED
ADDRE A0 , _Y(/� FIRST INSPECTION
�� /,�J� d� BUILDING400Zl
CITY P k1000UNTY10 - TEL NO /� ADDRESS A
LOCALITY
—LICENSE NO • D EXPIRES �Y
NEAREST
PERMIT FEES CROSS ST
KBFR TYPE OF FIXTURE OR ITEM FEE OWNS
WATER CLOSET (TOILET) @ O 50 I$ I MAIL o_r7 _ / _ �1/
ADDRES � u`�.�� �tl�ri.�BATH TUB @ O 50 I CITY + �' TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE 13 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLU ING
KITCHEN SINK @ O 50 t CERTIFY THAT I ESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LI SE OR 1 AM THE LEGAL OWNER
OF THE RESID ERTY DESCRIBED BOVE
GAS SYSTEM OUTLETS @ O 50 I SIGNATURE OF
WATER HEATER @ O 50 PERMITT
SLOP SINK @ 0 50INSPECTION RECORD
FLOOR SINK @ O Sol //
FLOOR DRAIN @ O 50I
DISHWASHER @ O SOI 7-v---s mawoqAe, 'mClorA3
DRINKING FOUNTAIN @ O 5o
URINAL @ O 50
J
HOUSE SEWER @ O So Q
Z
Nj�gELLANEOUS (�
Q
I� 0
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CCSSPOOL @ 1 OOI CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT I 1 0 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE 6,�.A•� v .•9 °�
FINAL I 7,
i