HomeMy Public PortalAbout5823AGNES AVE_Plumbing (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department Of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE .
FOR APPLICANT TO FILL IN
PLUMBER RECEIVED BY READY FOR DA IB$UED
"` _ ---------- % FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES —
NEAREST
PERMIT FEES CROSS ST. _
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 111 ADDRESS
BATH TUB @ O.SO CITY _ +EL. No
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
T _ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
f KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS BYSTEM__OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O.SO —
_DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL _ @ 0.50
HOUSE HEWER @ 0.50 _Z
MISCELLANEOUS E9
O
i --
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC
DRAIN ( ) PIT ( `) @ 1.00 SEWER
PERMIT . . 1,00 GAS TEST
UTILITY CO.NOTIFIED _
TOTAL FEE ,.f 7 v
FINAL
7CA667 DBS$17 10/52