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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT'OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY. '
FOR APPLICANT TO FILL IN NEAREST
CRoss ST. �!?
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 11.25 2 Sb MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL.NO.
LAVATORY 1.25 Z SD CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL.110.6- G o 7
LAUNDRY TUB 1.25 5 TE LIC A /
(CENSE NO. CLASS C.. C�
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE I PROC8$ED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'50 WAST APPROVAL C
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD v
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APPROVALS ' DATE INSp o NATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE d� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP (CATION GAS VENT .
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. /../
1 HEREBY CERTIFY THAT I AM PROPERLY 'REGISTERED AND/OR PLUMBING FIXTURES 'Y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM'TME LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABO DESPRED RESIDENTIAL OPERrY. UTILITY CO.NOTIFIEDf
SIGNATURE ..n ! !
OF PERM[ r! FINAL
VAIMATIJACK R.ALLEN r v
CK. M.0. CASH SUPERVISING MECHANICAL ENG-R.
9 6 10% JUL 14 5 0 7.00 v
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78A667-CE#817 4-67 nw-/
APPLICATION MR PLU B1NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (�
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
7�7FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL /� �•
BATH TUB 1.25 ADDRESS f7
SHOWER 1.25 CITY S TEL. NO.
LAVATORY 1.25 CONTRACTOR 4' /•G
SINS F 1.25 ADDBESS >
DISHWASHER 1.25 CITY TEL. NO-,4:7.6-671 7
STA LIC
LAUNDRY TUB V 1.25 LIC SE NCJ f3J J CLASS
CLOTHES WASHER 1.25 DIST"T NO. GROUP Z NE P CESSED BY
WATER HEATER 1.50 J/
GAS SYSTEM--OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD pr
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK jyz�•- -^-
J ROUGH PLUMBING '•� ,i�,
TOTAL FEE go0GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE -IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF /,ND INTEND TO
RESIDE IN,THE ABOVE DESCRIBE I RES NTIAL ERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
VALIDATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R.
0 5 3 l`•`o SEP 12 5 D 3.25— Q
76A667—CE#817 2-66
APPLICATION F PLUMB. G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 3 y `
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25
BATH TUB 1.25 ADDRESS �j
SHOWER 1.25 CITY L.NO.
LAVATORY 1.25 CONTRACTOR
SINK 1,25 ADD SA,
DISHWASHER 1.25 CITY TEL.NO &o-2
STATE LIC
LAUNDRY TUB 1.25 LICENSE O. -38 CLASSC:.A� 36 ' .
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P GESS D BY
WATER HEATER 1.50 O D(�
1.50 (� INDUSTRIAL >-
GAS SYSTEM OUTLETS- WASTE APPROVAL L
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE s, �� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 'AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND•STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOV ESCRIS RESIDEN AL PR eRrr. UTILITY CO.NOTIFIED
I
SIGNATURE
OF PERMITTEE
FINAL
�IMATION JACK R.ALLEN
M.o. CASH SUPERVIS•I.NG MECHANICAL ENG'R.
L 0 6 2 2� SEP 14 5 0 5.0 0. 1