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A557 APPLICATION FOR PLUMBING PERMITDBS-17 10.55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10840 Rogue St.
CASSATT,D. GRIFFIN,SUP'T OF BUILDING _
LOCALITY -Templet
FOR APPLICANT- TO FILL IN I CROSSSs. E1 Mont a Ave.
OWNER Mille r-& Price DISTRICT NO. GROUP I E I READY FOR INSPECTION
MAIL
ADDRESS 8640- E. -Las Tunas Blvd. ,
INDUSRIAL
CITY Ran Gabriel TEL: NO.'AT 7-300 I WA TE APPROVAL
PLUMBER Standard Plumbing Co: INSPECTION RECORD
ADDRESS 43 33 E. Flor en ce Ave
CITY Bell• - TEL.
TEL. NO. LII 71124
LICENSE NO. 39243 '
Y
NUMBER TYPE OF FIXTURE OR ITEM FEE'
WATER CLOSET (TOILET) @ $1.00 $ 2 v k 96 :X1
BATH TUB .@ $1.00
SHOWER @ $1.00 d
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 - �Q
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1- 00 ROUGH PLUMBING vfs� .�� D� '.G 1. ✓ �1��
GAS PIPING
TOTAL FEE111 Q0GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES L
A
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - GAS TEST
LICENSED AS REQUIRED NGELE COUNTY ND STATE OF
CALIFORNIA OR THAT LEG F T OVE UTILITY CO. NOTIFIED •I�- L(
DESCRIBED RESIDENT T
SIGNATURE
OF PERMITTEE FINAL I�;} /' i •I,-r�,�
JOHN-A. LAMBIE, COUNTY ENGINEER /�`'VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
C/ K./ H.0. CASH
Lot #2 2 a..y 2///un Plitt' ?, 3 11 .00
76 A 697 CE 617 7-69
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (VR OR TYPE) NEAREST
CROSS ST,
NUMBER FIXTURE OR ITEM ACH FEE t
OWNER"
WATER CLOSET 1.50
MAIL ^ '
BATH TUB A 11 -50 ADDRESS
SHOWER 50 CITY TEL. NO.
LAVATORY 1 50 CONTRACTOR
SINK 1150 'ADDRESS• Al 4Zq--CA,-
DISHWASHER 1 50 CITY TEL. NO.
CLOTHES WASH V 1 50 STATE LIC
LICENSE NO. S'%1717 CLASS
,l SWIMMING POOL RECEPTOR 1 50 _ DISTRICT.NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2 0
WATER HEATER 1. 0 INDUSTRIAL 0
WASTE APPROVAL u
/
GAS SYSTEM OUTLETS 1. 0 INSPECTION RECORD
OUTLETS OVER .30 O
5 P SYST
d
Lu
H
z
Plan check fee 257. of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE -
Plan check applicant UNDER.SLAB WORK
Name ROUGH PLUMBING -
Address GAS PIPING '
GAS VENT
City Tel. No.
HOT WATER HEATER
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST �g •-
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO _
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE f JACK R. ALLEN,,SUPERVISI M ANICAL ENG'R '
OF PERMITTEE — r'
—ae -e�
'PERMIT-VALIDATION CK. y.o. CASH
PLAN CHECK VALIDATION CK M.O. CASH
LALo ';2 d.1 ' :1I7128 5 D :8.25