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�1 OOUNTY OF LOS ANQELEM 'APPLICATION FOR PERMIT
Departmenf of County Engineer
Y LDIVISION OF BUILDING & SAFETY PLUMBING
WILLIAM J. FOX, County EmoImMF
FOR APPLE TO FILL INDISTRICT NO. 137RVP I ZD 7MMIT-5- A7 �K
PLUMMER [IVCD BY READY FVR DAT SS
IU
F1 RST INaP1C13TION }^
ADDRESS
MUILDING
CITY TIL No. ADDR13M
DDuNTY
41OFMOK Nov EwrI R cm
NEAR
PERMIT FEES CROS1 MT.o
MUMtE11 TY►E OF FIXTURE OR ITEM FEE QWN[ f t
MAIL
WATER CLOSET(TOILET) ! 0.60 M ADDRIP,Ir
BATH TUB ! 0.6O y
DITY TIL NO.
SHOWER ! 0.60 I HEREMY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH HASIN) ! 0.6O APPLICATION AND STATE THAT THE ABOVE 12 CORRECT
AND AOR[E TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ! 0.60 V9AND STAT[ LAWN REGULATING PLUMBING,
1 CERTIFY THAT I POSSEMS E O
THE ABOVVALID LS
TB
LAUNDRY TUBOR TRAY 49 0.BO ANGELES COULIC[NBE, OR I AM THE LEGAL OWNER
❑F THE RESIDE P PERTY ESCRJMED ABOVE.
GAIv SYsrEM E
UTLTS ! 0.150 n �-
■IGNATUR[ OF
WATER HEATER ! 0.150 PERMFI-r
HLOP BINK ! 0.30 SPECTION RECORD
FLOOR SINK ! 0.150
FLOOR DRAIN ! 'CLEO
DISHWASHER ! 0.150 �wa s ag
1p-
DRINKING FOUNTAIN ! 0.60 l
URINAL ! 0.60 /'v Z.1 JLIA
HOUSE SEWER ! 0.60 ) 4
MISCELLANEOUS
h7 6,4..
APPROVALS
DATI IKrEfaTOR 4 A 4z
ROUGH PLUMOINO Jana
GAS PIPING
GAS VENT
CESSPOOL ! 1.00 0933SPO0L
SEPTIC TANKI I BIPTIO TAN
DRAIN ) PIT ( ) ! 1.D0 I SEWER
PERMIT .- 1.00 GAS TAT
• O�
TOTAL FEE LITY 00.NO7TIFIID '
•
F1 NAL
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