HomeMy Public PortalAbout4938AGNES AVE_Plumbing �+ya-ear IP a so eT APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT N
PLUMBER RECEIVED BY READY FOR / DATE ISSUED
7
FIRST INSPECTION
ADDRESS A • r �'1 "'��
BUILDING
CITY TEL NO ADDRESS 46j5
COUNTY
LOCALITY -7� Ct
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ ADDRESS
BATHTUB Q O 50 CITY TEL NO
SHOWER Q O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O s0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
� AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THATIC! POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O Sol ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED B VE
GAS SYSTEM OUTLETS Q O 50 SIGNATURE OF
WATER HEATER Q O SO PERMITTE `i ``�"
SLOP SINK @ o so I INSPECTION RECORD
FLOOR SINK Q O 5o I � �
1
FLOOR DRAIN Q O 50 I !
DISHWASHER Q O 50 I
DRINKING FOUNTAIN Q O 501 ` fes. L, ff���1/0 a
URINAL @ O SOI I �b a I�-vey b IJ p Prr„ J
IHOUSE SEWER Q o SOI I I�J1 file,Yd I Z
MISCELLANEOUS �I �I r 2
WA-T-k2P 1,,1-� F 77-
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 o0 Il_ CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) @ I 00 SEWER
PERMIT 1 OO GAS TEST
I U
TOTAL FEE $ "`((( TILITY CO NOTIFIED
, l I 6
FINAL e{y