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APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUMDING AND SAFETY DIVISION BUDDING
IOHN A. LAMBIE. Cooney Engiaor ADDRESS -.
TT D. GRIFFIN, S.p t of of L9
LOCALTIY
FOR APPLICANT TO FLU IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAD.
BATH TDB ADDRESS
SNOWER CITY TEL. NO.
LAVATORY CONTRACTOR
EEL Sm ADDRELM g41;T'
DISHWASHER CTIY i CONTEACTOR'SSTATE
LAUNDRY
(NCO. Q U r
LAUNDRY TUB REGISTRATION NO. /C g Qom' `COUNTY
CLOTHES WASHER DIST RI NO. GROUP ZONEMESSED BY
WATER NEATER
GAS SYSTEM WASTE APP
WASTE APPROVAL
i INSPECTION RECORD
k.0 -♦"1
F?S Qr sju¢ c 'Doou
Occo-rf T• Tocz Tvr. lr• eJ
APPROVALS - is -!0 "7 7
5800 P u E E Dom. JN;IMMl0rPIGVATURE
7 ` UNDER SLAB WORK —711461-4
PERMIT S 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE TNAT 1 HAVE READ THIS APPLICATION AS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY H WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUM O FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST O—JI /—.-- —
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEG WN R OF THE ABOYE UTILITY CO.NOTIFIED IO-
BESCRIBED RESIDER TIA ROP
SIGNATURE FINAL
OF PERMITTEE
ROBERT A.WOOD.
f0. VALIDATION SUPERVISING MECHANICAL ENG'R
CA.
M.0. CASH
I—!to 9 2 7 2 '.; JUL 10 5 A 9.0 0