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APPLICATION FOR PLUMBI G
SHOWER 1.25 PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST (/
CROSS ST. 1�
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER fA Or
MAIL
BATH TUB 1,25 ADDRESS
CITY TEL. NO.
t LAVATORY 1.25 CONTRACTOR 0l
SINK 1.25 ADDRESS Q
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25
CONTRACTOR'S STATE
❑
REGISTRATION NO. /EJ J COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P EBBED BY
t WATER HEATER 1.50 -5"o f
GAS SYSTEM_ OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD �-
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 12-5
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATE -H ATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 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 LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RE ENTIAL PROPERTY. UTILITY CO. NOTIFIE r
SIGNATURE
OF PERMITTEE 41.
..
FINAL /
ALIDATION Ro RT A. WOOD
CK. M.O. CASH SUPrtRVISING MECHANICAL ENG'R
4 9 7 9- "OCT 1 5 D 1 1.25