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76A667 C}E817 12/59
APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND�S1FETY DIVISION BUILDING �a g
JOHN A LAMBI COUNTY ENGINEER ADDRESS �0/
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR Alert PlbE & htS.
s>NS ADDRESS 13933 Crenshaw Blvd
DISHWASHER CITYHawthorn.e CC TEL NO Os9-3691
CONTRACTOR SSTATE
LAUNDRY TUB REGISTRATION NO 168479 C-3� COUNTY ❑
CLOTHES WASHER DISTRICTRNO GP ZONE PR96CESSED BY
WATER HEATER U 6S
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
U
a
O
w
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� 3 c .• x
C� $1 00 PER ITEM ISO �J
OR FIXTURE $ APPROV LS DATE/ INSPECTOR S SIGNATURE
PERMIT $ 00 UNDER SLAB WORK /r
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER /
PLUMBING
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 1 AM THE LEO OWNER OF THE ABOVE A
DESCRIBED RESIDENTIAL PROPER UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITTEE /
FINAL ID
®� CDATION ROBERT A WOOD
CK m O CASH SUPERVISING MECHANICAL ENG R
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76A667 CE617 12/59 Ty
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUL� G DI�SAFTY RM ION n�ssJO / N �0
H BUILDING NTY SUE
NGINEER
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CSS ST
NUMBER FIXTURE OR ITEM OWNER NDA/ ARR P/A
WATER CLOSET
BATH TUB MAIL
ESS 5 O S /V t t9oeN G o R v c=
SHOWER CITY %E M&E (7/r v TEL NO
CONTRACTO
LAVATORY
SINS ADDRESS S Q w 1 V
DISHWASHER CITY TEL NO
CONTRACTORS STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NO GRONE P C ED BY
WATER HEATER r Q �--
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTIONRECORD
At,
` o
(� $1 GO PER ITEM
OR FIXTURE $ OD APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT 's2100 UNDER SLAB WORK
TOTAL FEE I ov ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L.ESCRIBED
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
BING
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR PLUMBING FIXTURES
SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
ORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
ATURE �� to
PERMITTE FINAL
OF VALIDATION ROBERT A WOOD /
Cc m 0 CASH SUPERVISING MECHANICAL ENG R
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76 A 667 - CE 817 7-69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES E v
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 6
`JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY ,{
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50 �
MAIL
BATH TUB 1 50 ADDRESS J
SHOWER 1 50
CITY TE NO v
ii
LAVATORY 1 50 CONTRACTO
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY NO (j7
CLOTHES WASHER 150 STATe LIC
LICENSE NO l CLASS
SWIMMING POOL RECEPTOR 1 50 ` DISTRICT NO GROU ZONE S B
1
LAWN SPRINKLER SYSTEM 2 00
WATER HEATER 1 50 INDUSTRIAL
P ROVAL aO
GAS SYSTEM OUTLETS 150 INSPECTION RECORD U
OUTLETS OVER 30 Z
5 PER SYSTEM
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V
W
G.
d yN
b
Plan check fee 25% of above See,reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
.TOTAL FEE \
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name a x y ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANWOR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER O AND INTEND TO t F
RESIDE IN THE ABOVE DESCRI S TIAL P ERTY FINAL
s
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION &
M O CASH
PLAN CHECK VALIDATION CK M o CASH
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