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76A667-CE817-11-57 ,
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �/
_
JOHN A LAMBIE County En eer ADDRESS C.t_Q J/0 L
CASSATT D GRIFFIN Supt of Budding LOCALITYr'
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST h-
NUMBERr FIXTURE OR ITEM OWNER
WATER CLOSET N
MAIL
1J ' BATH TUB ADDRESS
SHOWER CITY TEL NO
2 `LAVATORY CONTRACTOR MONTEREY PARK PLUMBING O.
I SINS ADDRESS 410 SO U RFIELD AT 2 2604
DISHWASHER CITY l%ONTr-..EYT&AVo CALIFORI,I
LAUNDRY TUB CONTRACTOR S �y �� (� / �r STATE
REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICT NO ` GROUP ZONE READ INSPECTION
r
�! WATER HEATER /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS
$1 00 PER ITEM DATE INSPECTOR S SIGNATURE
/ OH FI%TUHE $ " 174/
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UNDER SLAB WORK 9q
PERMIT $ 00 ROUGH PLUMBING ,� .['
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 2
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S53.
TATE OFleft 040, 1
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL"PROPERTY
SIGNATURE
OF PERMITTEE �W FINAL �_ 6whF -
�/ ROBERTA WOOD
®P SUPERVISING MECHANICAL ENG R
9VALIDATION
N 0 CASH
LACO1-1, 8 6 r, Aub 1 3 5 A 1 4.0 0 �°
76A667-CE817 8-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE County En neer ADDRESS
CASSATT D GRIFFIN Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET )
BATH TUB
ADDRESS '� V
r..._
- TEL NO.
CITY
SHOWER
CONTRACTOR
LAVATORY
SINK ADDRESS
DISHWASHER CITY TEL NO. ,—D/W
CONTRACTOR Sv STATE
LAUNDRY TUB REGISTRATION NO � J 0�7 � COUNTY El
CLOTHES WASHER DISTRICTNO GROUP ZONE P ESSEDBY
WATER HEATER
f GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
OR FFIXTURE $ I I
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
ADHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL R UTILITY CO NOTIFIED G Al SON
SIGNATURE
OF PERMITTEE &�� FINAL
ammemmm !/ �. !J— /
®e VALIDATION ROBERT A WOOD,
CS i ® O FASB SUPERVISING MECHANICAL ENG,R
��,o 6 8 52u— NOV 2 a 3.0 0 M
76A667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING U
JOHN A LAMBIE, County. Engmeer ADDRESS
CASSATT D GRIFFIN Sup t of Buildmg LOCALITY v
FOR APPLICANT TO FILL IN NEAREST ,9
CROSS ST C�
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAILp
BATH TUB ADDBESS
SHOWER
CITY TEL NO.
LAVATORY CONTRACTOR `
SINS ADDRESS
DISHWASHER CITY _ TEL NO. UI Y/
CONTRACTOR S /� �� ATE
LAUNDRY TUB REGISTRATION NO J -3 STCOUNTY El
CLOTHES WASHER DISTRICT NO GROUP ONE I P ESSED BY
WATER HEATER J
GAS STM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$100 PER ITEM I i
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ Z 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM T LEGAL NER F THE A VE
DESCRIBED RESIDENTIAL PROP] UTILITY CO NOTIFIEDT Q s6 .Y
SIGNATURE
OF PERMITTE17 FINAL
Esau
OF, VALIDATION ROBERT A WOOD
CK to 0 CASH SUPERVISING MECHANICAL ENG R
' 6 6 5 1 'dOY 2 5 A 300 1)