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APPLICATION FOR PLUMBI G PERMI
COUNTY OF LOS ANGELES i � e
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ` boma Avenue
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
L0OCALITY Tem 1'e C i ty
FOR APPLICANT TO FILL IN NEAREST
ROSS ST .
NUMBER FIXTURE OR ITEM EACH - FEE
OWNER Mr. J . Brigham
2= WATER CLOSET $1.25 2.50
MAIL
11 BATH TUB 1.25 1..25 .ADDRESS
11 SHOWER 1.25 1 2 CITY TEL. NO.
L LAVATORY 1.25 3. 75. CONTRACTOR Jospph C a d i 1 1 i Plbg.
I/ SINK 1.25 1 .125: ADDRESS 7821 E . Garvey
v DISHWASHER 1.25 CITY S.San Gabr i e 1 TEL. NOA t 0534
LAUNDRY TUB 1.25 REGISTRATION NO. 1 34935 C36 COUNTY ❑
CLOTHES WASHER 1.25 - DISTRICT N G O ZON PRO ESSfro BY
it WATER HEATER, 1.50 16-0 15
1
.50 1 5 0 INDUSTRIAL a
1 GAS SYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD LJ
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 17 ,5o
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING ✓
HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED B� LOS ANGELES COUNTY AND STATE OF i� ��
CALIFORNIA-OR THAT i A THE LEGAL OWNER OF, iVD INTEND TO GAS TEST
RESIDE IN, THE ABOVE RIBED RESIDENTIAL P ERT UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE I
FINAL
LIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
14 0"9 7:.3 a JUL 21 5 D 17.50-