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DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J.,. FOX, COUNTY ENGINEER ADDRESS T /e• 17
` FQR APPLICANT TO FILL IN LOCALITY
BUILDING 6� NEAREST
0 M ^ CROSS ST.
ADDRESS TY
DISTRICT NO. GROUP ZONE PERMIT N0.
LOCALITY -3
NEAREST / °cP"�`0
CROSS ST. 'q- RECEIVED BY Ready for Inspection DATEISSUED
OWNER 07 '\ \�+T �`� 8 !ftAi&%j_ /—A 0
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY f / ,tyT�E"L..NO. INSPECTION RECORD
PLUMBER !J- • 4��i�S- gH[�g1 * p�/ On
ADDRESS 4 D c 9 Ge: �iP
CITY-e Q� k f TEL.No./4T�. L
�¢ 1 / STATE /� 24-67- � �P J JR S7 aide
LICENSE NO.�- 3� `f �c7 .3� COUNTY
PERMIT FEES �`' V4 i"?0 S--,o-'r 1.JJl' i�d Q
JUM9ER TYPE OF FIXTURE OR ITEM FEE Y•5 !�`,I P1��r_ AP',;?V/ �i Q 1 J Z
01 W
WATER CLOSET(TOILET) @ 0.80 S ® '? '�'� 1.n/A,.
lz
— --
BATH TUB @ 0.80 ZIPLt/ !"-tr!_3 a e*/'y 6 r r-/P,Il/?F O
SHOWER @ 0.80 r+r> ✓ J4 f: f s PJ /20191r.I'J/ tt
LAVATORY(WASH BASIN) @ 0.80 .
KITCHEN SINK @ 0.80 �' d"fc�rfiRNr+ 11f?,+,FJ.E)d � d[
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80
FLOORSINK @ 0.80 7-0
FLOOR DRAIN @ 0.80 NARA- -S"-rA1,3ZAz- X FlP,?,0 'T
DISHWASHER @ -0.80 d=E'ITA F®l� �(J!J'h' '•/lrX�/t�c
DRINKING FOUNTAIN @ 0.80 _y�.� � �:' �3 Dewe
URINAL @ 0.80 h5G °_; A: �°sY�4'!/� ✓3�dt JI,P�;
OAS SYSTEM._..__.
._._OUTLETS @ 1.00 '
l� _l) J')A24s�JFr
WATER HEATER @ -1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
- GAS PIPING
TOTAL FEE /
1HEREBY ACKNOWLEDGE THAT I HAVE READ TNI APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS _
REGULATING PLUMBING. PLUMBING FIXTURES-'-''- _._.--
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ` E PM-f V-c3 1&
OF PERMITTEE--- !_ .:... - .._...✓_.... - - -.. v
FINAL 1 3
76A667 DBS 17 cd,, 12-53
76A667 APPLICATION
PLICATION F®R ..PLUMBING
Up ✓ING. PERMIT'-!EqMIT''
.•
DBS•17.12.54
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
..County of Los Angeles
UIWM. J. FOX, COUNTY ENGINEER ADDR IESSS �n N
L()
ADDRESS `7 T Vy P A^P1,
CASSATT D.GRIFFIN, SUPT OF BUILDING -
r LOCALITY-a,��yi-,
FOR APPLICANT TO FILL IN ' 'NEAREST
,ry :ZONE
'
OWNER 1 'G 6/1�/. .DISTRICT NO... - GROUP- ONE HEADY FOR INSPECTION
MAIL - V D /V _o M N A-V
ADDRESS
INDUSTRIAL
CITY nT`EL. NO. WASTE APPROVAL
PLUMBER e- J/�V {, 13 INSPECTION'RECORD
ADDRESS jZ W L Vb:
CITY &1 0 Nr6RCY 19/C- TEL:NO. Ar 14 -143 �1 _
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ y � _S•. //// _� A�/ � r rfx8�
BATH TUB
SHOWER -
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
-CLOTHES WASHER
TOTAL NO. @ 0.80 APPROVALS
.. DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS' @ 1.00
_ UNDER SLAB WORK
WATER HEATER @ 1.00
ROUGH.PLUM BING
PERMIT S 1 00
GAS PIPING ---�-
,TOTAL FEE �, ( GAS VENT v�,
I HEREBY ACKNOWLEDGE THAT 1 HAVE 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 1 PLUMBING FIXTURES
PLUMBING. -
I. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ,STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AM THE' LEGAL OWNER OF. THE ABOVE
DESCRIBED RESIDEN•IAL PP'RJOPPEEJR2TY.
SIGNATURE J. .��
OF PERMITTEE FINAL
WILLIAM J. FOX,,COUNTY ENGINEER VALIDATION
' BY_ ..
. f' DEPUTY