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DBB•17APPLICATION ■ 9 R L�/�IYBING PERMIT
G'.SS
DIVISION OF BUILDING AND SAFETY p�T 'd.
Deportment of County Engineer
I County of Los Angeles
WM.J. FOX, COUNTY ENGINEER ADDRESS / Ofd �ly 0"gwc�
CASSATT D. GRIFFIN, SUPT OF BUILDING �7
LOCALITY ��
FOR APPLICANT TO FILL IN 1 NEAREST
/f' � // CROSS ST
OWNER 10 a / /GQ DISTRICT N GROUP44 READY FOR INSPECTION
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MAIL .N
ADDRESS1. O
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER BAXTER & SON INSPECTION RECORD
ADDRESS 2536 N San Gabbri-]
CITY A7! San
.GabriQEL ,N',A . 0-6241
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
/ WATER CLOSET (TOILET)
BATH TUB /
SHOWER
LAVATORY (WASHBASIN) yrs`
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY {�
CLOTHES WASHER
TOTAL NO @ APPROVALS
oe GAS SYSTEM OUTLETS @ 1 00 DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
WATER HEATER @ 1 00 OO
PERMIT g 1- 00 ROUGH PLUM-ING i
p aa GAS PIPING
TOTAL FEE ---I G/ GAS VENT
A
1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION HOT WATER HEATER.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES V,A fu
PLUMBINGr �
1 HEREBY CERTIFY THAT E TERED /OR GAS TEST 'cI a
LICENSED AS REOUIR ,LOS NTY ND TE OF
CALIFORNIA OR I E G OWNE E AB VE UTILITY CO NOTIFIED
DESCRIBED RE ENTIA PESIGNATU
/
OF PEW ITT FINAL t Yi s"`ltiA.d,�
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A. WOOD, CHIEF PLBG. INSPECTOR
05 6-nR FEB 6 - 3 8.0 0 �'