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Te^BBT APPLICATION FOR PLUMBING PERMIT l
OE BIT B-BBUILDING AND SAFETY DIVISION• 1
Department of County Engineer
County of Los Angeles SUILDI NG
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GR I FFIN, SUPT OF BUIL.ING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
��)J CROSS ST. _
OWNE ,✓L- / DISTRICT NO. GROUP ZONE REA.Y FOR INSPECTION
MAIL `fir {JI�i1J
ADDRESS `! �_
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INDUSTRIAL
CITY L� TE NO. WASTE APPROVAL
PLUMBER _ INSPECTION RECORD
ADDRESS
CITYIFEE
LICENSE NO.NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ 51.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ 51.00
CLOTHES WASHER @ 51.00
WATER HEATER @ $1.00
GAS SYSTEM @ 51.00
F APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1, 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPLICATION
AND STATE THE ABOVE IS CORRECT AND AGREE E COMPLY HOT WATER HEATER
COUNTY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ) PLUMBING FIXTURES
PLUMBING. l
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `
CALIFORNIA OR THAT I AM THE LEGAL OWN R OF THE ABOVE 1 UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
ROBERTA.WOOD,
JOHN A. LAMBIE. COUNTY ENGINEER ALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
Bio l i a O w AI2 15 3 2.00 n
76A6071CSRI7 10-60 '
APPLICATION FOR PLUMBING PERMIT �I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
JOHN A. AAIMVBIIE COUNTY DNNG NNEON nnD�AEss I`�/ rtt���v
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM _ OWNER
WATER CLOSET MAD.
HATH TBH ADDRESS
CITY TEL. NO. '
SHOWER
LAVATORY CONTRACTOR - `2
SINK J ADDRESS ..
DISHWASHER
- CITY 7E1.. NO.
CON78A Oe'SS ATE
LAUNDRY.TUB REGISTRATION NO. flyve-� COONTY
CLOTHES WASHER j DISTRICT NO. GR P ZONE PRO 8 BY
WATER HEATER -'� L
GAS SYSTEM •). INDUSTRIAL
WASTE APPROVAL }
/ INSPECTION ffi ORD / D-
so
ZL
o $1.00 PER ITEM ,� �/�i//�g V�!/ �j�./�/,�Jr//f��G(/ '��' /.•dj i
OA FIXTURE $ _APPROVALS�� DATE INSPECTOR'S SIGNATURE
PERMIT' $ 2 00 NDER SLAB WORK
TOTAL FEE ROUGH PLUMBING ,
GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC ION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINAN S AND STATE LAWS REGULATING
PL11MBIND. HOT WATER HEATER
1 HEREBY CERTIFY AT I A PR ERLY REGISTERED ANOIOR PLUMBING FIXTURES
LICENSED A9 RE0U1 D BY LOSIAN LE9 TY AND STATE OF GAS TEST
CALIFORNIA OR T T I AM THE EGAL EICOP THE ABOVE
DESCRIBED RESID TIAL ROPERT UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
_ FINAL �
VALIDATION XOBERT A. WOOD
cK. N.o. ,fa psH V SUPERVISING MECHANICAL ENG'R
IV
u,�;94 3 9 2U [:AY 8 5 D 8.755'"
J _
NA66710E817 6.60
i
' APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER A
B
JOHNAt HEI q AND SAFETY DMSION BUILDING LAMBIE, COUNTY ENGINEER / G lclJ/r
WILLIAM A. JENSEN, SUPT OF'BwLoiHG. LOCALITY
FOR APPLICANT-TOFILL IN NEAREST
CROSS ST. C.
NUMBER FIXTURE OR ITEMf OWNER .
PcJ
WATER CLOSET'
BATH TUB _ DURESS 7��3 L ERS Di✓ -
CITY TEL. NO. G - 7�3
SHOWER
LAVATORY CONTRACTOR
SIIi% ADDRESS
CITY NO.
DISHWASHER
CONTRACTOR'S STATE ❑.
LAUNDRY TUB REGISTRATION NO .. COUNTY -
CLOTHES WASHER DISTRICTW. , GROUP ZONE SSED-BY
WATER HEATER 9V
GAS SYSTEM INDUSTRIAL `
WASTE APPROVAL
INSPECTION RECORD
0 o
luO
w
I
O $1.00 PER ITt2d
OR FDcTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE"
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION.
AND STATE THAT THE ABDVE IS CORRECT AND AGREE TO COMPLY 'GAS VENT I � n
:WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' :HOT WATER HEATER
PLUMBING.
1 HEREBY-CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR+ PLUMBING FIXTURES I I t7I GII C�I��i/J�i(/J.
.LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO.STATE:OF GAS.TEST
CALIFORNIA OR THAT-11 �AM, THE LEGAL OWNE OF. THE ABOVE. _
DESCRIBED RE910ENTIAL, ROPERL I -UTILITY CO.NOTIFIED
SIGNATURE I: _ J��� J, I I /Y Y1I� jJ II
OF PERM ITTE FINAL
®r, - V'ALIDATIO� ROBERT A. WOOD.. V • I ,
X.Q. (wvB') SUPERVISING)MECHANICAL ENG-ft
r
1 � 76,4z�! SEP 1Q 5 D € .,r_, 0
76A667-CE817 12159 TEMPLE; CHTY
•
. . ,APPLICATION FOR _PLUMB,ING PERMIT
i COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY' ENGINEER•
BUILDING SAND E,SAFETY I�MSION [ADDRESSuDINc9 jg �Aa aOiii
JOHN A. L MBI COUNTY NGINEER
WILLIAM A. JENSENC SUPT OF BocxirrY yeAf o e If,,7-4/
FOR APPLICANT TO FILL IN NEARESTCROSq ST. •
NUM-BER^ FIXTURE OR'ITEM ;, n ✓ -
OWNER
WATER CLOSET MAIL
. -ADDRESS—T03'7. ,tS /
HATH TUB . . ,CITY T -TEL. NO.. I ' �7b K9%
.
SHOWER -
CONTRACT
LAVATORY
SINE - ADDRESS
DISHWASHER. CITY
CONTRACTOR'S' - STATE, ❑
LAUNDRY TUB REGISTRATION NO.. COUNTY ❑
/ CLOTHES WASHER "'DISTRICTNOJ�(/ GROUP ZONE P OCE D Y
WATER HEATER U
GAS SYSTEM 'INDUSTRIAL .
WASTE APPROVAL _
• INSPECTION RECORD
a
p .
U'
0
N
W
N
i •
$1.00 PER ITEM .
OR-PIXTURE `$ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
- �
THEREBY ACKNOWLEDGE THAT 1 HAVE, READ THIS APPLICATION GAS PIPING
AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY GASVENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS ,REGULATING
PLUMBING. HOT WATER HEATER
_
I HEREBY CERTIFY. THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FI XTURES'
.LICENSED AS REQUIRED BY. LOS ANGELES COUNTY AND STATE OF GAS TEST �I f 3I fG� ��YIYLI�F�
CALIFORNIA OR THAT 7 AM THE LEGAL--OWNE OF THE}ABOVE
DESCRIBED RESIDENTIAL 10FROPERTY. j/� - UTILITY CO. NOTIFIED
- SIGNATURE'
OF PERM ITTE • FINAL
ALIDATION ROBERT A. WOOD. •'
•cc. M.0: CASH SUPERVISING MECHANICAL ENG'R
65 ' SEP 2 2 5 'D . 3 .00 . ii