HomeMy Public PortalAbout4948AGNES AVE_Plumbing (4) DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENG4INEER ADDRESS 494' s
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BUILDING CROSS STOSa�
ADDRESS
DISTRICT NO GROUP ZONE PERMIT NO
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NEAREST
rROSS ST RECEIVED BY Ready for Inspection h DATE ISSUED
OWNER I (ck_aR o
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ADDRESS Gt/ WASTE APPROVAL
CITY e �,,/ TEL NO INSPECTION RECORD
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PLUMBER 1{r�
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1 CITY TEL NO
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LIPENSE NO F--IN SI n COUNTY(
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PERMIT FEES z
J IMRER TYPE OF FIXTURE OR ITEM FEE L
WATER CLOSET(TOILET) @ 080 $
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BATHTUB @ 080 t
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80 t
KITCHEN SINK @ 080
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
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FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM VUTLETS @ 1 00
WATER HEATER @ 1 00 0
MISCELLANEOUS
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE a (x GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE( HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PI UMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED(
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDENTIAL RROPERTY UTILITY CO NOTIFIED
SIGNATURE '�' / /
OF PERMITTEE _ �ry
FINAL
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