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76A667-CE#817 6-65 12I
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES i
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER ,-
/ WATER CLOSET $125MAIL
BATH TUB 1.25 ADDRESS
CITY E . NO
sxowER 125
LAVATORY 1.25 Z CONTRACTOR
SINK 1.25 ADDRESS��/� �f / ^� p
DISHWASHER 125 CITY STATE /�w� a" TEL NO.Ile- <&/
LIC
LAUNDRY TUB 1,25 LICENSE NO/ CLASS ,--- —G-
CLOTHES WASHER 125 D7, 07
S,�CT GROUP ZON PR CES �B
` WATER HEATER 1 50 d 7l 0 —7,_so /1
GAS SYSTEM 7 OUTLETS I WASE AIPPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
E—
U
Lu
CL
h
Z
APPROVALS DATE IplSPEC2OR S SI NATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING `
TOTAL FEE "� {t? GAS PIPING
I 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 WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICE
NSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN, THE ABOVE D CRIBED RESIDENTIAL PROP Y UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL /
VALIDATION
CK M O CASH
�r%O 4 1 9'9 UG 17 5 D 1 3.7 5
76A66.1-0817+'2 62 TEMPLE LE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING C'
BUILDING AND SAFETY DIVISION ADDRESS c?S I
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY L
FOR APPLICANT TO FILL IN NEAREST ii -
CROSS ST. V L 117 if 14
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1 25 MAIL )) `'
BATH TUB 125 ADDRESS -�G Ke 1 Lkj � -
CITY -re-j', Z I TEL. NO.
SHOWER 1 25
ONTRACTOR
LAVATORY 1.25 C !-
SINK 1 25 ADDRESS '
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB 1 2S CONTRACTOR'S STATE El
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP NE PROCESSED BY
WATER HEATER 1 50so INDUSTRL
GAS SYSTEM OUTLETS 1 WASTE AIA ROVAL
OUTLETS OVER 5 PER SYSTEM .30 /-j ,INSPECTION RECORD
13
APPROVALS DATE INSPECTOR S SIGN TUFE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY 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 S
PLUMBING 9 A
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 44 f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST � � v
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRI D RESIDENTIAOPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A WOOD °
cK M o CASH SUPERVISING MECHANICAL ENG R
L,i,o 4 6 3 21-0 JAN 2 0 5 D 5.7 5
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76^667.DBS 17 11-SO APPLICATION FOR PERMIT
DEPAR'fMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELESPLUMBING 1
WILLIAM J. FOX, CHIEF ENOINECR D[STRTO. GROUP I ZONE PERMIT NE3. f
I
FOR APPLICANT TO FILLY IN
�8'9y- 7
PLUMBER L RE CIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION //_/pBUILDINGv
— � p 5.,�rC t��i
CITY TEL. NO4_y J ADDRES
� B
ADDRES
COUNTY jG LOCALITY
LICENSE NO. I U v EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) ADORES9/�
BATH TUB 0.50 CIT. w'4G�Q. -eq, TEL
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1
CERTIFY THAT 1 POSBEBB THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELEB COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
or
OF THE RESIDENTIAL P OP ESCRISED ABOVE.
GAS SYSTEM OUTLETS � 0.50
SIGNATURE OFie1aJ.�d�
WATER HEATER Eca 0.50 PERMITTEE
SLOP BINK 0.50 INSPECTION RECORD
FLOOR BINK 0.513
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z_
MISCELI,ANEDUS
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE S SSD
/ FINAL
V