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APPLICATION FOR PLUMBIN ; PERMIT
COUNTY OF LOS ANGELES 7
DEPARTMENT OF COUNTY ENGINEER
BUILDING LAAND S4FETY DIVISION �D°u°e,�saSO
JOHN A MBIE OUNTY ENGINEER
COLEMAN W JENKINS, SUPT DI BUILDING LOCALITY
FOR APPLICANT TO FRS RY CNEAREST
NUMBER FIXTURE OR ITEM EACH FE!
OWNER
WATER CLOSET Sim HAM
BATH TOS 125 ADDRESS
CITY TEL NO
SHOWER 125
LAVATORY 1 75 CONTRACTOR LEE'S PLUMBING, INC.
sm 125 ADDRESS 2407 N. Lee Ave.
DISHWASHER 175 CITY So. El Moate TEL No 444.0628
uUxDar roR 125 REGISTRATION NO xo C 267 coOin
CLOTHES WASHER 175 DIYTRICT NO •ORO Z E PR
WATER HEATER 150 n� J
GAS SYSTEM! OUTLETS 110 WAASTO STRIAL APPROVAL r6
OUTLETS OVER 5 PER SYRfM 50 INSPECTION RECORD V
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APPROVALS DATE NSPECTOI1,6 SIGNATURE
PERMIT !LAGR99
2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAS PIPING
I H[N[OY ACKNOWLEDGE THAI 1 HAV[ REATHISPLICATION GAS VENT
AN STAT[ THAT THE A60V[ IE CORRECT ANDO COMPLYWITHALL COUNTY ORDINANCES AND STAT[ GULATINGPLUMBING HOT WATER HEATER
H[NOvu[IIFY THAT I AM PROPERLY D AND/ON PLUMBING FIXTURES
LICENSED AS REQUIRED SY LOS ANGELES COSTAT! OF GASTEST
CALIFORNIA OR THAT I AY TM[ LEGAL OWNEIIREMD TOROID[ IN TN[Aeov[ RIEm RESIDENTIAL UTILITY CO NOTIFIED
YIGNATUR!
OF PERMITTEE FINAL
A1TON ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENO R
LRGoO 1 5 5� A021 5 D 1 1. 25, VN
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