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76A667 -CE#'B17 2-62
APPLICATION F , R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 10andwick Dr. _
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST Gl t-c-kman
- CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER V. --W-r-WhiteL --
MAIL
BATH TUB 1.25 -ADDRESS -Same - -
SHOWER 1.25 CITY TEL. NO. 2 2
LAVATORY 1.25 CONTRACTOR Riviera Pools Inc.
SIN% 1.25
ADDRESS 6745 e 3 8 & jaivia.
DISHWASHER 1.25 C;GISTRATION
Reseda TEL- NO. Di
LAUNDRY TUB 1.25 ]:RE NO.CTOR'S ST)k
189292 COUNTY 7�
CLOTHES WASHER 1.25 DISTRICT NO. GR__OUP j ZONE P. A�ESSED BY
WATER HEATER 1.50 ) � �
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 - - INSPECTION RECORD
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APPROVALS DATE INSPECTp R'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
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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 OF,AND INTEND TO
RESIDE IN,THE'fll6i(E DESCRIBED RE NTIAL PROP RT�160
UTILITY CO. NOTIFIED
SIGNATUREOF PERMITTEEFINAL 14 +.6
LIDATION ROBERT A. WOOD
CK. M. O. CASH SUPERVISING MECHANICAL ENG'R
78A887.CE41817 9/63
APPLICATION FOR PLUMBINGERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
>
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. V
NUMBER FIXTURE OR ITEM EACH FEE /IAV /L(.�I
OWNER (i
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRE
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRA OR'S STATE ❑
REGISTR TION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT 1�0._ ROUP NE SSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTWASTE I PAOVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND_INTEND TO
RESIDE IN,THE ABOVE 8 /BED R SIDENTI PRopE UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 'L(-6 II/
VALIDATION ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LAW 7 6 4 7 G' APR 2 0 5 D 3.2 5~ cQl
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I6A667•CE#617 5-Gi-
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGII�iEER
BPUILDMG '
JOHN A.]r4MB1E. COUNTY ENGINEER ADDRESS l®�7 7 GAt� .
WILLIAM A. JENSEN, SUPT OF BUILDING ^_.� _
LOCi1 0
FOR APPLICANT TO F L IN CROSS ST. y
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
PATH TOP ADDRESS.
CITY TSL.NO.
SHOWER
LAVATORY CONTRACTOR valley Plumbing Co.
sm ADDRESS 442 f. Fleetwood Pi.
/ DISHWASHER CITY Glendora: TEL.No. Ed a®
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LAU=RY TOB Zlzr,=.croRN NO.A a17 Coulm
CLOTHES WASHER DISSTTRRIICT NO. GROUP JWINE SED BY
WATER HEATER ✓ O
/ LNDUSTRLAL
GAS SYSTEM WWASTE APPROVAL
INSPECTION RECORD
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APPROVALS DATO INSPECTORS,S•'IGNATtj
PERMIT $ 2 00 UNDER SLAB WORK / o/o (' .i��Gg 4/J1]�'•
TOTAL FEE ROUGH PLUMBING
Ipt t r ''rr-'L J
GAS PIPING SON .-n��i •
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT •I , Aq- 'o
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 411 +�cr
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 3�Iy�:,•/G!Z A wI
LICENSED AS REQUIRED BY LOS•ANGELES COUNTY AND STATE OR GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE p •�
DESCRIBED RESIDENTIAL PROPERTY. _ UTILITY'CO.•NOTIFIED., ) .A fJdy � r �s:l,'i.7�i�N
SIGNATURE r
OF PERMITTEE
FINAL
3
VALIDATION ROBERT A.WOOD
M.On CASH SUPERVISING MECHANICAL ENG'R
LAA o? 8 1 5:o DEC 4 5 D 16-55-