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7BS APPLICATION FOR 'PLUMBING PERMIT 1
DB3.17�IDFMION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS �/Mn/
CASSATT D.GRIFFIN+SUPT of BUILDING
LOCALITY
FOR PLWANT TO FILL IN NEAREST
CROSS ST.
OWNER 10 _ff DISTRICTNO. G UP ZONE READY FOR INSPECTION
MAIL ADDRESS ��/f/!a O D`
INDUSTRIAL I
CITY A 'GEL.NO. WASTE APPROVAL
PLUMBER �' INSPECTION RECORD
ADDRESS
CITY / n�(p� TEL.N
LICENS. O.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM (9 $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
G
TOTAL FEE. AS PIPING
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TESTf «�
LICENSED AS REQUIRED BY LOS ANGELgS COUNTY TATE OF
CALIFORNIA OR THAT 1 AM D LEGAL OWNEW OF TH OVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT P E TY. t ��
SIGNATURE
OF PERM ITT.
` NALi /5
IOHN A.L.AMBIE,COUNTY ENGINEER LIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK.j M.0.. CASH
(_,AC0.5 3 1 7- APR 2 3 3 1 2.0 0
:'6 A 667—CE 817 8/68
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 LOCALITY118L9 Ig City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
-
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
OWNER
WATER CLOSET 1,:50
MAIL ,�}
BATH TUB 1.50 ADDRESS 31J j" mro
SHOWER 1,50 CITY Temple City TEL. NO.
LAVATORY 1.50 CONTRACTOR I Gwen Bros. Piw*irig, lac.
SINK 1.50 ADDRESS .1265 e,
DISHWASHER 1.50 CITY ! onte 91739 TEL' NO- 443"013
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. 231 741 CLASS C 36
SWIMMING POOL RECEPTOR 1.50 a
DISTRICT NO. _ GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
W
WATER HEATER 1.50 WAS I
E APPROVAL "'
GAS SYSTEM OUTLETS Ip.91
INSPECTION RECORD
OUTLETS OVER
S PER SYSTEM .30 p
NE
W
Plan check fee 2S% of above. See reverse.
PLDNIBING PERNIIT ISSUING FEE S 00
TOTAL FEF,
APPROVALS DATE INSPECTOR'S SIGNATURE
Pian C'hec'k applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Te I. N". HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE. -
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
c .Jr- ,d ,.>�:• ti 7 .4 sir
-1-
78A8APPLICATION FOR PLUMBING PERMIT
,BR.,,�,Ia.BB
f�IVISION OF BUILDING AND SAFETY
a Deportment of County Engineer
County of Los Angeles BUILDING /
JOHN A.L.AMBIE, COUNTY ENGINEER ADDRESS
CASSATT D..GRIFFIN,SUPT OF BUILDING f
LOCALITY ( - /ii /J/117
FOR APPLIC:ANT,TO FILL INNEAREST ��(
CROSS ST. N S /a h
OWNER �NJLq/�(� �Qr�L, DISTRICT NO. GROUP ZONE+ I READY FOR INSPECTION
MAIL n I /,p-114
C7 LI
ADDRESS <f �p �!.1(�+ �/ �� 'rrrTTT
CITY /tlrj/� INDUSTRIAL
J� C ��.�i EL.NO. f WASTE APPROVAL
PLUMBER/ INSPECTION RECORD
q i '
ADDRESS -7�r �) ry tt �� G k�
CI /-r v I ` TEL.NO.,
LICENSE Nrox , - Or- I"". "'a q
NUMBER TYPE OF FIXTURE OR ITEM FEE ��� 49% �(p —s I
WATER CLOSET (TOILET) @ $1.00 .,.►
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB ORTRAY- @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE 10FECTOR'S SIGNATURE
UNDER SLAB WORK se* 0
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APP 1CA710N •HOT WATER HEATER ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE / g ,I
OF PERM ITT�EEA?CCv /` /' if►il FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.,CHIEF PLBG. INSPECTOR
CK. M.:O. CASH
3 6 6 �,R IMAR 2 3 4,04