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Home My Public Portal About5803AGNES AVE_Plumbing 6A6B7 17 949 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO PLUMBER RECEIVED BY READY FOR DATE ISSUED D /� /` FIRST INSPECTION � ADDRESS 3 �i -_�1_�,,Qp/�,,,,1�'-tea( 7 �/�� I CITY p�b-Q CJ`"T- L/ TEL NO C 6-S SS 10 BUILDING ,t�-Q O�� /./_ _ ADDRESS J U (�/� COUNTY �7 LOCALITY LICENSE NO ll EXPIRES 6- 3 O -s°Z NEAREST PERM FEES CROSS ST I� - NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) Q O 50 Is ADDRESS BATH TUB Q O 50 I CITY TEL NO SHOWER Q O 50 I I 1 HERE ACKNOWDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q O 50 I APPLICATION AND STAT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 501 STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS © O 50 SIGNATURE O WATER HEATER Q O 501 PERMITTEF SLOP SINK Q O Sol NSPECTION RECORD FLOOR SINK Q O 50 FLOOR DRAIN Q O Sol DISHWASHER Q O 501 DRINKING FOUNTAIN Q O 501 5/.G URINAL Q O SOI I✓1gJOP s I/e- -3 T'�`� ..1 HOUSESEWER Q O 50I� Q � MISCELLANEOUS o1� O I I I� �1 I� 1 APPROVALS DATE INSPECTORS NAME ROUGH PLUMBING i 1 1-1 GAS PIPING GAS VENT CESSPOOL Q 1 00 I I CESSPOOL SEPTIC TANI' I SEPTIC TANK DRAIN ( ) PIT ( Q 1 001 I SEWER PERMIT 7 00 GAS TEST I SUTILITY CO NOTIFIED TOTAL FEE FINAL !! (%e6-1