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APPLICATION. FOR PLUM ING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGfNm
BUILDING AND.SAFETY DMSION BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS 6414 3
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARECRSS S. (1
NUMBER FIXTURE OR ITEM EACH FEE 01NNE �. 1
WATER CLOSET 61.25 _
AD
BATH TUB 1.25 D v
SHOWER 1.25 CITY yL TEL. VO.
LAVATORY 1,25 S CO
SINS 1.25 s ADDRESS , 3
DISHWASHER 1:25 CITY _ �( TEL.NO. _?-9fp'
CO CTOR'S STATE
LAUNDRY TUB 1
REG TRATION NO. COUNTY ;❑
CLOTHES WASHER 1.25. _ DIS.`�Ti�ICT NO.. GR O Z NE P O ES •D BY
WATER HEATER 1.50. S`D k-5 / }
INDUSTRIAL n
GAS SYSTEM -3 OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U
J ! '1 ae 0
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n ok i ..d am?+. ��is �. a
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neHd 4 Z
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.D 157 APPROVALS DAYE INSPECTOR'S SIGP,I 7 JRE
PERMIT $ 2 00 UNDER SLAB WORK
o •ROUGH PLUMBING L
TOTAL FEE I L12 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 OPERLY REGISTERED AND/OR PLUMBING FIXTURES i P
LICENSED AS REQUIRED BY S A ELES COUNTY D STATE OF GAS TEST
CALIFORNIA OR THAT 1 A HE GAL OWNER OF, D INTEND TO
RESIDE'IN.THE A OVE GRt RE DE P RTr. UTILITY CO.NOTIFIED•• `
SIGNATURE
OF PERMITTEE a�-Y
FINAL K-
VNIDATION •yROBERT A.WOOD
cK. M.o. CASH .7UPERVISING MECHANICAL ENG'R
i 1Co9580- NLR18 5 D 1 0.0 0
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of Engineer PLUMBING
DIVISION OF BUILDINLDIN G & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT
RO PZQ�IE,
PLUMBER
PER
.
� G READY FOR (�
RECEIVED BY DA IBSU D
r• ,T FIRST INSPECTION J�
ADDRESS (��. UC
BUILDING Lf�J 9Ale
i Q . e^ I
CITY TEL.No. ADDRESS ;7 ..�7J Fy,�
COUNTY LOCALITY G 4,r
LICENSE NO. EXPIRES
NEAREST /
PERMIT FEES CROSS ST. /
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER .f / i (f!!
MAIL
WATER CLOSET(TOILET) 0.50 B ADDRESS /1//
BATH TUB 0.50 CITY +& / TEL. No.
SHOWER ($ 0.50 i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORBINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR_T-RAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OAS SYSTEM !Z/ 0.50 QQ OF THE RESIDENTIAL ROPE DESCRIBED ABOVE.
WATER HEATER @ 0.50 81GNP TR�R�EF
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK (B 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50 l` /p� 7 r /9
DRINKING FOUNTAIN 0.50 `t 'J�� C��,%/,Zi t 7-1 lJ PJAeor~
URINAL @ 0.50 /./-].f 91�r�[� f C� / �'.�� Q
HOUSE SEWER Ad 7T 9,,CE-f Z
MISCELLANEOUS ry/�%/IA� r/] / l /�'
13
IJ r-R
(9"I}.f' '.
APPROVALS A/,q
DATE INSPECTOR'S NAME d
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 7.00 CESSPOOL
SEPTI TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) Q 7.00 SEWER
PERMIT t.o0 GAS TEST (7" s 4
UTILITY CO.NOTI
TOTAL FEE AU FIED
FINAL
TUO67 DBS*17 10/52