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DEPARTMENT OF COUNW ENGINEER L
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING 7
WILLIAM J. FOX, COUNTY ENGINEER -;ADDRESS
FOR APPLIC T T FILL I LOCALITY
BUILDINGO NEAREST
CROSS ST.
ADDRESS _
DISTRICT NO. GROUP ZONE PERMIT N0.
LOCALITY Z J` IP�/ �� 19
NEAREST E�� 'Rle�edY for Inspection D��...7 SUED
CROSS ST. a/� 6
OWNER
MAILINDUSTRIAL
ADDRESS �f WASTE APPROVAL
CITY o. INSPECTION RECORD
t0
• PLUMBER Io I Y EA✓s t� 6 IA!
ADORES .o f�C.go. IaA�a ia. LKJ T— — p
CITYTEL.NO. I
" �d�S '�,�r, �r�F� I�a�.l ALa�w I A! h1.4 a�.o•-•�..
LICENSE NO. to COUNTY J
PERM T FEES a
z_
DUMBER TYPE OF FIXTURE OR ITEM FEE ur
WATER CLOSET(TOILET) @ 0.80 3 0
O
BATH TUB @ 0.80
SHOWER @ 0.80
lt.AVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 0.80
GAS SYSTEM.-_-. -_-....OUTLETS @ 1.00 Q
WATER HEATER @ 1.00
MISCgLLANEOUS
APPROVALS
—77— DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ / 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GA8 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 I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST
AND STATE OF CALIFORNIA, OTHAT 1 AM THE LEGAL OWN- fa
ER OF THE ABOVE DEb RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED (l
O
SIGNATURE N
OF PERMITTEE._-_---
76A007 DBS 17 (`A6 19_S3