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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AUI1DTNc
JOHN A. LAMBIE, COUNTY ENGINEER , ADDRESS / PJ Q G3 /✓A A.' E S ���1
COLEMAN W. JENKINS, SUP'T OF BUILDIrvc ., LOCALITY
SYN
FOR APPLICANT TO FILL IN NEAREST
CROSS qT zlo2ew/E
NUMBER FIXTURE OR ITEM EACH FEE /
OWNER
WATER CLOSET $1.25
BATH TUB 1,25 DDRESS 0O 4 /NE$ �•� /ri1
CITY Ipsµ �F �/ TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRESS 72J
DISHWASHER 1.25 CITY �� TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 OISTgI CT NO GROUP ZONE PR CES BY
WATER HEATER 1.50
LETS
GAS SYSTEM I OUT1.50 r '•Tj INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD C
0
O
F
V
W
d
N
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE so
GAS PIPING
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 HOT WATER HEATER
PLUMBING,
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOUIREO 9Y LO GELFS OUNTY AND STATE OF GAS.TEST
CALIFORNIA OR THAT 1 AM TH LEGAL R OF.ANO INTEND TO
RESIDE IN,THE ABOVE DE RI6E gE51D NT L PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE �/ � �� /
OF PERMIT] l
FINAL J
VALIDATION ROBERT A. WOOD
cN, ..0' cnsH SUPERVISING MECHANICAL ENG R
LA�o 8 5 5 5- JAN 5 5 D 3.50- Q
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APPLICATION FOR PLUMBING. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /u7G - L -
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET L50 _
BATH TUB 1.50 A DD RESS /E eI
SHOWER 1.50 CITY , \ // TEL. NO.
LAVATORY 1.50 CONTRACT A
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY _ � TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. - CLASS
SWIMMING POOL RECEPTOR 1.50 '�pn18`TRICT NO GJ30YP Z E P O SS B
LAWN SPRINKLER SYSTEM 2.00 OV
CI-
WATER HEATER 1.50INDUSTRIAL IZ
S WASTE APPROVAL CD
U
GAS SYSTEM OUTLETS 1.50 / INSPECTION RECORD ly
OUTLETSOVER 3G ` � Q .-� I /, � v h
5 PER-SYS'LEM i-e ) M 11 V Z
Plan check fee 25" of above. See reverse. / I
PLUMBING PENM]YISSIIING REE S 2 00
TOTAL REE D APPROVALS DATE INSPECTORS SIGNATURE
Plan cheek applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT "
City Tel. No' HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING_FIXTURES
WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING GA$TEST
PLUMBING:
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIIORNIA OR THAT A TME LEGAL OWNE OF.ANO INTEND TO
RESIDE IN.TME ABOVE ql PESI DEN A PROPERTY. FINAL /
SIGNATURE
OF PERMITTEE �YL/ JACK R. ALLEN,SU PERVI51 NIC L ENG-R.
PERMIT VALIDATION M.o. CASH.
PLAN CHECK VALIDATION CK. M.0. CASH
Ipjyl y.8�3� SEP24 5 D 350 '�
16A6j7 -CE#BIT 2-62 TEMPLE PLP CR Y Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION rADDRE—
LDING
JOHN A. LAMBIE, COUNTY ENGINEER [,WILLIAM A. JENSEN. SUPT BF BUILDINGCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER .L II
WATER CLOSET $1.25 y MAIL
HATH SUB 1.25 ADDRESS
SHOWER 1.257 J CITY TEL. NO.
LAVATORY 1,25 •(Ql>� CONTRACTOR O
SINK 1.25 ADDRESS
DISHWASHER 1.25 -914
JCITY _!tiN TEL. NO.
LAUNDRY TUB 1.25 CONTRALTO STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GR ZONE PROCESSED BY
WATER HEATER - 1.50 �� J� 1 (�
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD
S-ZU-Gor— PC�QAl1 T / S Re: w
F^ 0 67A& 7l y sTTiM. — Cc4I L u A g fill Z
lvegras
A-
A
A OV 5ATE INSPECTOR
5 SIGNATURE
PERMIT 5 2 00 UNDER WORK
O ROUGH PLUMBIN --p
TOTAL FEE GAS PIPING
IH
ACKNOWLEDGE THAT I 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 M THE LEGAL OWNER AND INTEND TO
RESIDE IN, THE
ABOVE SCR IBEO��gttESIOENTIALPERTY, UTILITY CO. NOTIFIED /
SIIG PERMIT
FINAL
ALIDA /
VVV
TION ROBERT A. WOOD I
cn. M.D. CASH SUPERVISING MECHANICAL ENG'R
Lln� 7 8 7 I,PQ.20 5 D 7.00~