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APPLICATIONFOR PLU ING PERMIT
COUNTY OF LOS ANGELES y pZ.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN. Sup t of Building
LOC
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
/ BATH TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SINE ADDRESS
DISHWASHER CITY TEL. NO� 9
CONTRACTOR'S _ STATE
LAUNDRY TUB REGISTRATION NO. COQNTY ❑
CLOTHES WASHER DISTRICT(N�O. O@7O'UP ZO �- P � BY
f WATER HEATER 1�' Q O "T i� 4 . 'J F
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
! INSPECTION RECORD
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1 OR FIXTURE
APPROVALS DATE F �INS,PIECTOR'S SIGNATURE
PERMIT $ 2 OO UNDER -WORK _ems../19�(OF I'lTJ.JCcvtx -
TOTALFEE `P'u' ROUGH PLUMBING J
GAS PIPING
1 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES >_ ,q./p, A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAB TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURES%
OF PERMITTE
FINAL
®P AIJDATION ROBERT A. WOOD,
CK. St.0. CASH SUPERVISING MECHANICAL ENG'R
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�76A667-CE917 12/59
APPLICATION FOR PLUMBING PERMIT:
DEPARTMENT OF COUNTY ENGINEER 1�
BUILDING AND SAFETY DIVISION ADDRESS._ L. A )R 0 S A
JOHN A. LAM SIE. COUNTY ENGINEER^ ADDRESS
WILLIAM A. JENSEN, SUPT of BUILDING V
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /.� C
NUMBER FIXTURE OR ITEM CROSS ST. (S J
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OWNER (J'CrB d In 3 01^31 D
WATER CLOSETMAIL
BATH TUB )�
ADDRESS. 7 /�)-7 4
CITY ' ✓ TEL. NO. D ✓�–O.S`�1r'
SHOWER ��77 pp
LAVATORY CONTRACTOR S �1-m
SINK ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. ROUP O t7 P S E BY
WATER HEATER 3� O _ �
GAS SYS INDUSTRIAL
_ WASTE APPROVAL
INSPECTION RECORD
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1 ® 31.00 PER OE
R FIXTUFIXTURES I OD
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT
$ 211 00 UNDER SLAB WORK q
TOTAL PEE — ROUGH PLUMBING
•J 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
PLUMBING. HOT WATER HEATER
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 I A"
THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTE FINAL
®rL ROBERT A. WOOD.
cr. B.G.O, Cnsx SUPERVISING MECHANICAL ENG'R
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7BA667-CES17 R-59 f-�
APPLICATIOFOP
COUNTY OF LOS ANGELES LU ING PE. EMIT
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
IOHN A. LAMBIE. CouniF Englnoot ADDRESS
CASSATT D. GRIFFIN, Sup t of Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST v
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TUB MAIL
ADDRESS
SHOWER CITY TEL NO.
,r7J_ LAVATORY CONTRACTOR
` sin ADDRESS
DISHWASHER CITY//,;/, TEL. NO
CON CT 'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISSTO TRICTQN�O. G Oi"
UP ZZO E P BY
WATER HEATER 17 - Q ,� / �� / F
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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0 $1.00 PER ITEM /p.Qa U L /ar
cI OR FIXTURE S I� /dAPPROVALS /J DATE � INSP�TOR'S SIGNATURE
PERMIT $ 2100 UNDER b-WK lf./19�fp,rY-1,t-K0Vj�
TOTAL FEE��L!.fA ROUGH PLUMBING 7-2,-7 tici p7�Lv✓�r�i
j V 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
PLUMBING. HOT WATER HEATER
i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES i 4.L DnA.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST %A V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURES
OF PERMITTE FINAL d' f
®. ALIDATION ROBERT A. WOOD,
CK. Y.0. DASH SUPERVISING MECHANICAL ENG'R
trQ2B72S JUL'l27 5 D 1 2 .0 0 r
76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT.
DEPARTMENT OF COUANGELES
TY ENGINEER )
BUILDING AND SAFETY DIVISION BUILDING f�
JOHN A. LAM BIE. COUNTY ENGINEER ADDRESS 0-SA
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST _ S
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER rxe i^A^�Z6 ✓C a ural 1J
IL
WATER CLOSET
BATH TUB ADDRESS, ��7
CITY bLj L/ TEL. NO. D
SHOWER "' p�
LAVATORY - CONTRACTOR A m
SINK ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. ROUP O (7 P S E BY
WATER HEATER 3 O o
GAS SYS EM INDUSTRIAL
_ WASTE APPROVAL
INSPECTION RECORD
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J OR FIXTURE S OO
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK ,]
TOTAL FEE 7 Ll ROUGH PLUMBING
•J GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING. HOT WATER HEATER
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 I AM
THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®� /-VALIDATION ROBERT A. WOOD,
" cKcs/J
N.D. cnsx SUPERVISING MECHANICAL ENG'R
LTO 121 59SEP -;; n
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