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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B 264
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 4901 M-rt�Js�A-ro
COLEMAN W. JENKINS. SUPT. OF BUILDING �Y1
LOCALITY TIAMPIm city
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.2S MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR sE<X} t Y`i!t tv i t.l i .at l vCH ""o.
SINK 1.25 ADDRESS 1-1 58 k&desk $lvd.
DISHWASHER 1.25 CITY 1,06 A1. v a v%