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7618- APPLICATION
8178-56
I7 B- FOR PLUMBING PERMIT 1
Cr BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING �+
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS y� C
CASSATT D GRIFFIN',SUP'T OF BUILDINGIsla LOCALITY ✓Y1 P -� (�//
IZY
FORA PPLICANT TO FILL. IN ' NEAREST
y{ / CROSS ST.
OWNERAle /LD43 oek DISTRICT NO. GRQUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS t:UNTANA PLUMBING CONTRACTORS �--I --L�s-� d,,`,✓�-�--- � _-
13319 EAST ECTO G_ � ! C ®
CITY L J��y.�
LICENSE NO. # 96496
NUMBER TYPE OF FIXTURE OR ITEM FEE U
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1.00
SHOWER @ $1.00 JLC
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 /
LAUNDRY TUB-OR TRAY @ $1.00 -7-
CLOTHES
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00-
GAS SYSTEM @ $1.00
- t
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 0 GAS VENT /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION HOTV1(ATERHEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. _
IHEREBY CERTIFY THAT I AM ERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOGE ES COUNTY AND STATE OF
CALIFORNIA OR THAT &AIHEf.L OWNER OF THE ABOVE UTILITY CO.NOTIFIED _
DESCRIBED RESIDENT
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD,
JOHN A. LAMBIE. COUNTY ENGINEER V ATION SUPERVISING MECHANICAL ENG'R
M.O. CASH
,M?- oa69R17 3 A 7.00 M
► / Jr
76A667 (CE-817)-8-71Ib
APPLIICC/A/TJON FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS �G
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST = T
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 1 75 MAIL
BATH TUB 1 75 ADDRESS 10,,),2y1
SHOWER 1 75 CITY ,04,�— TEL. NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY✓ e L44- TEL. NO �� 7�7Q
CLOTHES WASHER - 1 75 STATELIC
LICENSE NO. J CLASS
y SWIMMING POOL RECEPTOR 1 75
DZSTR,,T NO GROUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 1 75
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 750
RE O u
OUTLETS OVER
5 PER SYSTEM 30 A
0"
Lu
a
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
THEREBY ACKNOWLEDGE THAT 1 HAVE READ THI5 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE EGAL OWNER OF, D INTEND TO 140
RESIDE IN THE ABOVE DES CRI RESID IAL PR RTY FINAL
Own lzzuet�
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION �cK - 0 CASH
PLAN CHECK VALIDATION CK M O CASH
L,,,L0 5 0 5 '7 NMAY D 4.75-