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-APPLICATON FORLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FLAIN
APPLICANT TO FILL IN NEAREST
CROSS ST.
TURE OR ITEM EACH FEE
OWNER
LOSET $1.25 2.,5 MAIL'
1.25 S ADDRESS
CITY TEL. NO.
1.25Y1,25CONTRACTOR
1.25 ADDRESSER 1.25 CITY TEL. NO.TUB 135 CONTRACTOR'S
STATE
REGISTRATION NO. S COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE ROCESSED BY
WATER HEATER 1.50 Qg� C- M }
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
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O
1-
u U
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0-
y
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APPROVALS DATE INSPECTOIS SIG iATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP IcAT10N GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AMC AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLU MRING,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN
STATE OF GA$TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE DE CRIBED RESIDENTIAL PRO RTY UTILITY CO. NOTIFIED
SIGNATURE I✓V� A
OF PERMITTEE 'LR. `
FINAL
/VALIDATION ROBERT A. WOOD
G. CASH SUPERVISING MECHANICAL ENG'R
L ILO 6 6 1 2 DED 9 5 D 7.25- 0.,
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APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES % (o
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADILDING
DRESS �/ �Yo2c�&J/i
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY O$F Q1�d
FOR APPLICANT TO FILL IN CROSS 57.
NUMBER FIXTURE OR ITEM EACH FEE
L,/.q Ya( 1/YYOTJ $
WATER CLOSET $1.25 OWNER J
MAIL / /
BATH TUB 1,25 ADDRESS �yaaHW
SHOWER 1.25
.• CITY ✓A L TEL. NO.8T6-tPW/
LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER ` 1.25 CITY TEL. NO.
LAUNDRY TUB I.pS CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST ICT GROUP ZONE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL O-
WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
OL
0
F-
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W
a
H
z
ISF
APPROVALS DATE INeSFECTOq'9Si 4ATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE
0 ROUGH PLUMBING iy- bpi
GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE To AT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I 2I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND IHTE7)TO
RES OC IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTE
FINAL
VALIDATI' ROeERT A. WOOD
CK. M.O. ``// cABH SUPERVISING MECHANICAL ENG'R
LI Igo 7 3 o :IPa 6 5 D 7.00-
CAINCCLLEID',AT RMITTEE
TSAEST-CE#SI] 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 71.25
MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITYlull" TEL. NO 6-63s
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOA'S STATE ❑
REGISTRATION NO. COUNTY O
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZON PR 66ED BY
WATER HEATER 1.50 .SU (J (i7 l
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
C
0
1—
U.
a
N
Z
LT
APPROVALS DATE INSPE T R"s EI URC
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING 1
1
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR PLUMBING FIXTURES P
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND NT
D TO
RESIDE IN,THE ABOVE G< IBEU RESIDENTIAL PROPERTY. 11TII TY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VFiLIR ERT A. WOOD
M.
M.o. CASH SUPERVISING MECHANICAL ENG'R
(1 2 5 7 8� AUG13 5 D 3,50— a
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