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APPLICATION FOR-PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7DD /Z TL/fE / &
JOHN A LAMBIE COUNTY ENGINEER y CCASSATT D GRIFFIN SUP T OF BUILDING 17-4
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEMWATER CLOSET BATA TUB
SHOWER 1 CITY 7LrlypA4E C/T TEL NO
LAVATORY CONTRACTORj.4eAf ' r^ 0
ZZ BINL ADDRESS S1(3 0- W N 154-
DISHWASHER
¢DISHWASH® CITY ,0 TEL NO Al 9 'F
CLOTHES CONTRACTOR 5REGISTRATION N01 /37400 C
3
CLOTHES WARNER
NO ORP ZONE [[Loi FOR INSPECTION
WATER HEATER O
GAS SYSTEM INDUSTRIAL
WASTE AMOVAL
INSPECTION RECORD
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GSL_. v
r
APPROVALS
® 5100 PER ITEM / / ��/��y DATE INSPE IGNA RE
GH FIZTURE 3 //�/[ N7'� UNDER SLAB WORK
PERMIT j N'fYl ROUGH PLUMBING
GAS PIPING
TOTAL FEE O GAB VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE BEAD THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PRO ERTY
SIGNATURE /'I
OFPERMITT PD
INAL
ATION ROBERT A OOD
SUPERVISING MECHANICAL ENO R
[[ Y O CAIS
_ • 1 r
LG2706S APR 8 3 A 67.00