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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
' Department of County Engineer
DIVISION OF BUILDING & SAFETY
PLUMBING
WILLIAM J. FOX, County Engineer
DISTRICT a. GROUP ZONENO.92
FOR APPLICANT TO FILL IN �a -J�L6 (r®
PLUMBER CARDpL RECEIVED BY READY FOR DATE ISSUED
1 1 FIRST INSPECTION
ADDRESS •-a '( a
BUILDIN
CITY ROSE TEL Na' ADDRESS!dIaw
COUNTY LOCALITY k 000
LICENSE NO. 93M EXPIRES
• NEi4REST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE DR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
1 BATH TUB a 0.50 CITY TEL No.
SHOWER 0.50 1 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 ORDINANCES
KITCHEN SINK a 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOyiE.
GAS BYBTEM�OUTLETS Q 0.50 o ware
WATER HEATER 0.50
SIGNATURE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN 0.50
DISHWASHER a 0.80
DRINKING FOUNTAIN 0.60
URINAL ® O.BO A
Q
HOUSE SEWER 0.90 _Z
MISCELLANEOUS 5
Z
O
APPROVALS
DATE INOPECTOR-9 NAME
ROUGH PLUMBING .v
r• J --
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK.' SEPTIC TANK
DRAIN ( ) PIT ( ) e 1.00 SEWER i
v
PERMIT .
1.00 GAB TEST
cow UTILITY CO.NOTIFIED
TOTAL FEE M
FINAL Gr
76A667 DBS.#17 8-58
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DSof County Engineer
DIVISIONION OF OF BUILDING & SAFETY
WILLIAM J. FOX, County EnBlneer
DISTRI,CT N.G. GROUP I ZONE PERMIT NIJ.
FOR APPLICANT TO FILL IN
PLUMBER I RECEIVED BY REAgY FOR ATE ISSUED
. FIRST INSPECTION 7 r�
ADDRF-99 8300 EAST VALLF=y
r
BUILDING
CITY TEL Na. ADOREBQ,_�rz®
COUNTY LOCALITY ►� o
LICENSE NO. 93M EXPIRES
NEAREST
PERMIT FEES CROBB ST.
e.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 2�y �
MAIL
WATER CLOSET(TOILET) 0.50 M ADDRESS
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 IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I THAT HAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
BAB SYSTEM OUTLETS ® 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
RMI
WATER HEATER (� 0.50 ®ION ET RTTEF m�
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK a O.BO
FLOOR DRAIN @ 0.50 -
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50
URINAL (lb 0.50 J
Q
HOUSE SEWER Q 0.50 _Z
MISCELLANEOUS 2
R'
0
APPROVALS
DATE INSPECT 1i'9 NAME
ROUGH PLUMBING
BAB PIPING
BAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 BAB TEST
TOTAL FEE / P N UTILITY CO.NOTIFIED 1/l/s
[ FINAL r�:�7�//i� -1r
7GA667 DBS#k 17 6-58 Al