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DBS-17 12.54 APPLICAAPPLICATIONY ®R PLUMBICW`>
. : PERMIT.
DBS-1 -
DIVISION OF.BUILDING AND SAFETY
Depirrtment.of County Engineer
County. of Los Angeles F „
WM.J. FOX, BUtLDINc COUNTY ENGINEER ADDRESS �O L j �f7 on
CASSATT D. GRIFFIN, SUPT OF BUILDING
LO CALIT.Y
FOR APPLICANT TO FILL IN NEAREST
Jam. CROSS ST. • .
OWNER /- DISTRICT NO. ( GROUP, I- ZONE READY FOR INSPECTION
MAIL
ADDRESS -
INDUSTRIAL
_CITY TEL. NO. WASTE APPROVAL -
PLUMBER8.1 yv G- INSPECTION RECORD
ADDRESS I Or 5 '-)- //
CITY C G TEL. NO *7"1-41 Q ' -
LI ENSE NO. o-
NUMBER TYPE OF FIXTURE Oh ITEM FEE -
1' WATER CLOSET (TOILET)
BATH TUB .
SHOWER / /�,�,.t/,�/ /� 13 - n
LAVATORY (WASH BASIN) -Q- - - _ �b'��e/"-' "� /7� J�� �i��
KITCHEN SINK 20- //V �,
DISHWASHER / �L.-S-7-L" v',
LAUNDRY TUB OR TRAY GfI �.C3'' r✓1A7 7-J1071P-
CLOTHES WASHER
TOTAL NO. @ 0.80 '� z7!- APPROVALS
DATE INSPECTOR'S SIGNATURE
As SYSTEM- @ 1.00 -
�- UNDER SLAB WORK -
' � WATER HEATER @ 1.00 -
ROUGH PLUMBING _7_,,
PERMIT S I 1 00 GAS PIPING
TOTAL FEE (L _ GAS VENT J+ `
1 HEREBY ACKNOWLEDGE THAT I 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 PLUMBING FIXTURES
PLUMBING. GAS TEST F�/{1�p'•�- l��/ r
I HEREBY CERTIFY 'THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO'. NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
- r� -.J
OF PERMITTEE aeo
SIGNATURE FINAL J>7-,S 6r;,"
WILLIAM J. FOX, C NTY ENGINEER VALIDATION
By
UTY
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT d. GROUP1
ZONE P
PLUMBER d ( _ri K29 4
1 14 1/V GTS—, RECEIVED BY READY FOR DAT
� I �y188
ADDRESS 1//® S'G `a G// FIRST INSPECTION �1JED
�
CITY JG�
i ��' •r1T -L- p' ADDRESS 14f
COON E NO. ' EXPIRES 36 �',J 4 LOCALITY—LICE • ( I
NEAREST �/ �a
PERMIT FEES CROSS ST. !//\�� J
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �I C
MAIL
WATER CLOSET(TOILET) 0. 0.50 $ 46). ADDRESS A /
BATH TUB 0.50 FDO CITY TEL. N &,0/4f
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 O, APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 b AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 �/ef Q ANGELES COUNTY
L CENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM— OUTLETS 0.50
OF THE RESIDENT L EMOPER Y DESCRIBED ABOVE.
�. OQ
SIGNATURE OF !
WATER HEATER @ 0.50 aU PERMITTEE.
SLOP SINK @ 0.50 INS CTION RECOR
FLOOR SINK Q O.SO
FLOOR DRAIN @ D.S0
DISHWASHER @ 0.50 / 9
r
DRINKING FOUNTAIN 0.50 /J'h� /LS�f
URINAL' @ 0.513 /1/( J
_ Q
HOUSE SEWER @ 0.50 A14 `."*AA,P,.4
MISCELLANEOUS E3
"57
APPROVALS -�'
..- DATE INSPECTOR'S NAME
ROUGH PLUMBING `
/ - I
- GAS PIPING
GAS VENT "/b
CESSPOOL 1;013 CESSPOOL '
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.013 1 GAB TEST +W✓L1 L
8� UTILITY CO.NOTIFIED s nF_ �
TOTAL FEE B FINAL ,1` I -V kl-44101-
76A667 DBS#17 10/52
PLUMBING I
,, �I�x OF�co,UnY FNGMEM PERMIT APPLICATION
DIVISION OF BUILDING'AND SAFETY'. 1,. .I r
COUNW OF LOS ANGELES BUILDING`
WILLIAM J. FOX, COUNTY ENGINEER. ADDRESS
LOCALITY _ ,0,4BUILD ! �
NQ FOR A�P51I 6NT TO FILL IN NEAREST
ADDREf� �F ;�,�� CROSS ST. Ir
DISTRICT N0. GROUP ZONE PERMIT N0.
LOCALITY
NEAREST
CROSS ST. L✓/4/[ RECEIVED BY Ready for Inspection DATE ISSUED
OWNER L if. CAP /
MAIL j-- — _ _. INDUSTRIAL
ADDRESS �t+a WASTE APPROV L
CITY TEL.NOA a �y/ INSPECTION RECORD
PLUMBER �8� Z—
ADDRESS
CITY TEL.NO.
State Contractor's r2�g Class
, r
License No. il
L.A.County Contractor's 1
Registration No. Z
PERMIT FEES F
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) Q 0.60 i
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB ORTRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK Q 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00 4.
MISCELLANEOUS APPROVALS
.06'%A A h/h/�ff (A// O® DATE INSPECTOR'S SIGNATURE
'UNDER SLAB WORK
PERMIT s 1 00 ROUGH PLUMBING
TOTAL FEE Ba GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED -
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST. 1
AND STATEOF CA ORNIA THA I AM THE LEGAL OWN.
ER OF THE ABOV SCR RE NTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.. ....... . .......i.... ...... ............. _
FINAL
76A667 DBS 17 6/54