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BS-7,oss APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depaxtment of County„Engineer
JOHN A. 16AMBIE COU NTY'ENGI NE ER BLLILDING
County of Los Angeles 1 �7 TT,,..
ADD RESS-. loll/',,E:; La ROSS
CASSATT D. GRIFFIN,SOP;i OFjBUILO ING ' I
LOCALITY T—i p .
FOR APPLICANT, TO FILL;IN' INCROSSST
��rrTT 1.,, CROSS ST.
OWNER RO M--I Almquist,. DI$TRIGT N9�.e ORD ZONE - neAox FOR INSPECTIONIAIL
ADDRESS 1011'S E: 1+ci ROsa �!
rJNDLFSTRIAL
CITY' Tem 1e Olt+p TEL. NO. WA TEAPPROVAt
PLUMBER Belvedere-Plumbing Co. INSPECTION RECORD
ADDRESS 11X010 E . .Gary e Ave . (� L ” /,f.�� Yry .ry .yOL�✓. '001 v.0"Jl Atr
CITY El- Monte TEL. NO. FO 99836 1 /S1.r / Y / '✓_J ✓"ryVy'C.Y'l.%
LICENSE NO. 54932
NUMBER TYPE OF FIXTURE OR ITEM" FEE L �f GJ //e/ L z/
WATER CLOSET (TOILET] @ $1.00
1 BATH TUB' @ $1.00 l VO
1 SHOWER @ $1.00 1 O0
2 LAVATORY (WASH BASIN) -@ $1.00 2400
KITCHEN SINK @ $1.00 1. 00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
I CLOTHES WASHER @ $1.00 1
1 WATER HEATER @ $1.00 1 �^
1 GAS SYSTEM @ $1.00 (�(�
Q�
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00
ROUGH PLUMBING
—
GAB PIPING '
TOTAL FEE - 12 bO
GAS VENT /
IHEREBY ACKNOWLEDGE THAT I .HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND .AGREE TO COMPLY HOT WATER HEATER �`�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / T
PLUMBING PLUMBING FIXTURES qS
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR' GAS TEST ][ 7 �...a oI
LICENSED AS REQUIRED BY LOS ANGELES UNTY AND STATE
CALIFORNIA OR THAT 1 AM THE LEGAL PIER OF E ABOVE UTILITY CO.NOTIFIED /
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEERVALIDATION ROBERTA. WOOD, CHIEF PLBG. INSPECTOR
CK. M.0. CASN '!
!Aco8 :574 Jll2rj 3 x_ 2.00 m
370