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'APPLICATION FOR PLUMBING PERMIT ,l
BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE.COUNTY ENGINEER " ADDRESS Al• wO
CASSATT D.GRIFFIN.Sul-T OF BUILDI No /✓�
LOCALITY F \ f
FOR APPLICANT TO FILL IN NEAREST cv4 7,k,:71,
CROSS ST.
OWNERW, 1611IA6.6"
n N DISTRICT NO. GROUP ZONE READY FOR INSPECTION
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ADDRESS / /'L, 6 ;SAN l//�7/✓PL
P41114,8,
INDUSTRIAL
CITY TEL. NO. WASTEAPPROVAL
PLUMBER /' C6 INSPECTION RECORD
ADDRESS J 4M S
CITY TEL. NO.
LICENSE NO. A }-��J ♦_ �'9
NUMBER TYPE OF FIXTURE OR ITEM FEE JJ //"'/Q,.���r ".-A-
WATER CLOSET (TOILET) @ $1.00 $ Q ' /L✓// /y.� /�J.�.-G{�(
BATH TUB @ $1.00 QD IV
SHOWER @ $1.00 ,�? aPV/) l��A,'L:/b- 9T/ ✓ %�/�G
2
LAVATORY (WASH BASIN) @ $1.00_
KITCHEN SINK @ SE00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ SI.00
WATER HEATER @ $1.00 �.))yq V '�•••�/ y//,
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGN TURE
UNDER SLAB WORK /
N on
PERMIT ]APPLICATION
00 ROUGH PLUMBING Y/�V
GAS PIPING
TOTAL FEE GAS VENT •f
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TATION HOTWATER HEATER1lisAND STATE THAT THE ABOVE IS CORRECT AND AMPLY WITH ALL COUNTY ORDINANCES AND STATE LTING PLUMBING FIXTURES ���� 7PLUMBING. �f1 HEREBY CERTIFY THAT 1 AM PROPE R p/OR GAS TEST ✓ /LICENSED AS REOUIREp LOS GELES C TE OFCALIFORNIAORTHA A EG NERBOVE CO.NOTIFIEDDESCRIBED RES ENT A TSIGNATUROF PERM I'ITEE F CFINAL U-/�-,-7 7
ROBERT A.WOOD.
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
GN. B.0. CASH
L 10.00 9 6 2'� AUG rj 3 1 0.0 0 ID