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71GA667 =a�'B-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICj NO. GROUP ZONE SidPERMIT NO.
VALLEY o0umm) PLUMBING CO.
S _I�
PLUMBER RECEIVED BY READY FOR DATE ISSUED
/ o FIRST INSPECTION
900 EAST VALLEY BLVD.
v
ROSEMEAD AT. 2-271-9--
ADDRESS
BUILDING
CITY TEL, NO. ADDRESS j p
COUNTYLOCALITY
LICENSE NO. EXPIRESf
NEAREST
PERMIT FEES CROSS ST. /�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ I$U ADDRESS Alf'"'7
BATH TUB @ 0.50 J'® 4e7-L
.fir d z TEL. NO.
i
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 I „�'i% APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
.KITCHEN SINK @, 0.50 -�O 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0,50 5-(} ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RES I DENTIALO'PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
/ WATER HEATER @ 0.50 PERMITTEE - '-->'
SLOPSINK @ 0.50 I INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 01501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501 1�� CM, 1'ZA 6-A-S &A DO P./A/
1. URINAL @ 0.501 „J
IHOUSE SEWER @ 0.501 I Q
_Z
MISCELLANEOUS
It
O
I I
I�
_ I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
1 GAS VENT
CESSPOOL @ 1.00 I �t� CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.001 SEWER
PERMIT . . I 1.00 GAS TEST
$ UTILITY CO. NOTIFIED
TOTAL FEE
I I. FINAL '
76A667-CE817-.11-57 .
'. APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING °
JOHN A. LAMBIE, Count. Engra eer• ADDRESS f ✓ T
CASSATT D. GRIFFIN, Supt of Building ° LOCALITY a
ten.
w..... -r E x. 4 .e
FOR APPLICANT•TO FILL IN NEAREST
CROSS ST. Y
NUMBER FIXTURE OR ITEM
% OWNER
WATER_CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. N0. r
a LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITYAV
TEL. NO. 5 —6
5 LAUNDRY TUB CONTRACTOR'S / p STATE
REGISTRATION NO. ! 67 COUNTY ❑
77,77.
CLOTHES WASHER DISTRICT NO. „ GROU I ZONE 61K ,I READY FOR INSPECTION
WATER HEATER I{
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$1.00 PER ITEM
OR FIXTURE $ DATE INSPECTOR' SIGNATURE
UNDER SLAB WORK
:PERMIT $ OO ROUGH PLUMBING i -�
TOTAL FEE �� GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY .HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL 0 N OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPE
PERMITTEESIGNATURE
''I'- FINAL 23 Z� ol
�. . ..,:.,.. ' ROBERT A.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH ;
6
t,11062 .91 6 A MAR 2 5. A 5.0:0
746iI7 17 s-so 0 APPLICATION FOR PERMIT
DEPARTMENT OF.BUILDING AND SAFETY
COUNTY OF LOS ANGELES L 0
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
' DISTR�T NO. GROUPI ZONE PERMIT NO.
PLUMBER (., ( / o RECEIVED BY READY FOR DATE ISSUED
�j — ['� r p FIRST INSPECTION
ADDREsSASS, / 2. d Q s I4 If - Q
CITY�/ 1 TEL. NO. "9�3� ADDRESS I �V
COUNTY LOCALITY
LICENSE NO. EXPIRES - -
NEAREST
PERM FEES CROSS ST. r�ti P
OWNER
NUMBER TYPE OF FIXTURE OR ITEM FEEAIL
ARESS �sQ. �
DD
WATER CLOSET (TOILET) @ 0.50 $ _
BATH TUB @ 0.50
CITY 5� TEL.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR 1,IAM HE LEGAL OWNER
OF THE RESIDENT[ L-4 PROPERTY DESCRIBED ABOVE.
GAS-SYSTEM--OUTLETS @ 0.50[ SIGNATURE. OF n
WATER HEATER @ 0.50 I PERMITTE I M
i
SLOP SINK @ 0.501 INSPECTION RECORD Y
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
I URINAL @ 0.501 ,6� ..I
HOUSE SEWER @ 0.501 1 :