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APPLICATION
ATION FOR PLUMBING PERMIT
COUNTY
1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
]OHN A LAMBiE, County Engineer ADDRESSj7EDY C13SATTD. GRIFFIN. Supt of Bildi., LOCALTIYFOR APPLICANT TO FILL IN NEARESTCROSS ST.
NUMBER FIXTURE OR ITEMWATER CLOSET' —WEx avBATH TOR DAD&Rm S S/ A!ISHOWER CITY _�C. TEL NO.
LAVATORY CO�CTOUNTANA PLUM'dII'•I SINE ADDRESS 13329 E. EctDISHWASHER CITY C i of Indusf O' ED 7-
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WATER HEATER 'J"r
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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APPROVALS
DATE — INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT E 2 00 ROUGH PLUMBING ✓—__•
TOTALFEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT M THE LEGAL OWNER 9f THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI ROP TY. _
SIGNATURE ` FINAL
OF PERM ITTEF
ROBERT
Or VALIDATION SUPERVISING
WOOD.
_ G MECHANICAL ENO'R
CA. Y.O. CASH
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGI DAIN
TORN A. LAMBIE. County Engineer
CASSATT D. GRIFFIN. Sup t of Building CALITY
FOR APPLICANT TO FILL IN AREST
OSS ST.
NUMBER FIXTURE OR ITEM
WNER
WATER CLOSET
lcou�
BATH TOB
CITY ) ` SEI. x0.
SHOWERLAVATORY CO CTOR RINE
ADDRESSD18HWAsi{e8 CTIR :,. TEL x0.LAUNDRY TUB REG 9 RATION No. f-33/.J'-sCLOTHES WASHER OIS�TNO. GROUP ZOE
WATER HEATER
GA8 BYSTEId INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
/ O SLDO PER ITEM
OR FDCTURE $ APPROVALS DATE INSPECTORSSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS 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 1 AM THE LEGAL OWNER Df THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ✓/
OF PERMITTE
FINAL � J
®r OVAMATiON ROBERT A. WOOD.
Cc.
M.o. CASH SUPERVISING MECHANICAL ENG'R
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F/�� APPLICATION FOR PLUMBING/ PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
]]OHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN. Supt of Building
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. «Ef
NUMBER FIXTURE OR ITEM OWNER y(J N
/ WATER CLOSET MAIL
/ BATH TUB ADDRESS SS/
axowEs rADDHESS
y
LAVATORY NTBAC7
SINE DISHWASHERrNO.
TSTA ❑LAUNDRY TUB GISTRATION N /0' COUNTY
CLOTHES WASHER DISTR�T NO. GROUP ZO E PROCESSED BY
/ WATER HEATER i
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
A
APPROVALS
TEM
OR PER
B DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK L'
11
PERMIT EZ 00 ROUGH PLUMBING �- 6 a ✓�T
TOTAL FEE O GAS PIPING
/ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER 7
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST J " ``-F-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THAT AM HE LEypL OWNER F BOVE UTILITY CO.NOTIFIED L .1I��.o
DESCRIBED RESID NT ePRO It
DESCRIBED
SIGNATURE FINAL
OF PERMITTEE
ROBERTA.WOOD.
Or VALIDATION SUPERVISING MECHANICAL ENG'R
CK./ Y.0. CASH
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