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BABETAPPLICATION FOR PLUMBING PERMIT 7
cE e T "BUILDING AND SAFETY DIVISION 1
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE.COUNTY ENGINEER ADDRESS16."
CASSATT D.GRIFFIN. SUPT OFBUILDINGJ') /
LOCALITYCROSS
FOR APPLICANT T_O. FILL IN NEAREST ST.
OWNER (�/" DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER . ! t.��Gca �GG��)r � t INSPECTION RECORD
4t-z- ,LC-ADDRESS
CITY ELNO. itV CA( /O1P,45{
LICENSE NO. / �10F/nc/7oS1/LO�IFPF�,ay T�.
//T,, w n_O C4f W L e4oOReo f/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
_ KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRYTUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
qq >> GAS PIPING 'S
TOTAL FEE /T // GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P 0PEBTY.
SIGNATURE
OF PERMITTEE" 9 FINAL
ROBERT A.WOOD,
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION 5UPERVISING MECHANICAL ENG'R
CK. Y.0. CASH
p0 8 4 1JUL 31 3 2.00
D.B.S.-l7 25M SETS 6-46
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �L+�VEIlI
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRRICI NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE �i A I �,2 / v
NEATER CESSPOOL I—I SEPTIC TANK REOh°IVED�6Y READY FOR DA H ISSU D
1` jow
l 'FIRST INBPECTIO //¢
GAB ISCELLANEOUB ��� /
APPLICANT-FILL IN HEAVILY OUTLINED PORTION ONLY
JOB :r?
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d,
NAME ADDRESS //✓ J.�K-i10J2/-21-1
ADDRESS LOCALITY
!� _ ��✓
y CITYST
TEL.No. N%REBT. .1//l I
COUNTY ��4qi /✓ /L�✓I�
CERT.NO. EXPIRES m NAME
AIL
7/ �
LOCATION OF SEPTIC TANK, OR CESSPOOL ; ADDRESS
NORTH O
CITY No
No
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
y OWNER v
CORRECTIONS
SOUTH J
/ DESCRIPTION OF WORK i
BATH TUB FURNACE
SHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK BAND TRAP
GLOP SINK FLOOR DRAIN
wwaH TRAY URINAL APPROVALS
f WATER CLOSET DRINKING FOUNTAIN DATE IIMBPECTOR'S NAME
WATER HEATER DENTAL LAVATORY BOUGH PLUMBING I 1 4 I /y N����1/V
METER � GAB SODA FOUNTAIN I�i -�� I . -
OUTL GAS PIPING
GAS VENT I
- - �M- CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER
B
TOTAL FEE rr UTILITY co.NOTIPIeD
4 r FINAL �l �-J ry