HomeMy Public PortalAbout4846 AGNES AVE_Plumbing_12/22/1953_75253 water fixtures (2) � DEPARTMENT OF COUNTY ENGINEER.
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
a COUNTY OF LOS ANGELES
BUILDING . /4�w
WILLIAM J FOX COUNTY ENGINEER ADDRESS V J
BUILDING FOR APPLICANT TO FILL IN NEAREST
Al
LOCALITY
DRESS
AD
CROSS ST
C DISTRICT NO GROUP ZONE PERMIT
LOCALITY ��
YEAREST
CROSS ST RECEIVED BY Ready for Inspection DATE SSUED
ACV
OWNER ! L
MAIL INDUSTRIAL Jr
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER (b % S /yam—
ADDRESS d dT
PITY TEL NO /y/
y�� ❑STATE
LICENSE NO T j-Z [+}QOUNTY J
PERMIT FEES a
z
UMBER TYPE OF FIXTURE OR ITEM FEE Vr
WATER CLOSET(TOILET) @ 080 S
O
BATHTUB 0:1 080 r
SHOWER 0 080
LAVATORY(WASH BASIN) 0 080
KITCHEN SINK 0 080 0
LAUNDRY TUB OR TRAY 080 (/
SLOP SINK 080
FLOORSINK Q 080
FLOOR DRAIN 0 :
80
DISHWASHER 0 80
DRINKING FOUNTAIN Q 080
URINAL 080
GASSYSTEM j OUTLETS 100 sl�v
WATER HEATER 1 00 00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDERSLAB WORK !
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE (4J0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT
DATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES /J
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE , 1019V f ���✓//
OF PERMITTEE �r^ v
FINAL
7GA667 DBS 17 1/53