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)88S.17-1710.39 APPLICATION FOR PLUMBING PERMIT'
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of LOS Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS F�.c"o 1��,1i?Q�Q ,C t�T �j�V�',.
CASSATT D..GRIFFIN.SUPT OF SUILDINa f
LOCALITY T om.'31 C City
FOR. APPLICANT TO FILL IN I c ARE sr. 8 Tunas Dr.
OWNER Leo 11 c`� c U h DISTRICT NO. GROUP //jj��ZONE
MAIL READY FOR INSPECTION
I I lam`
ADDRE88
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER Statmdde P.,�'� Wi 'ubinp; Co. INSPECTION RECORD
ADDRF-SS70024 Er Ira11e Blvd.
CITY El Monte a TEL.NO. GI 4-3717
LICENSE NO. 7. O 1 0717
NUMBER• TYPE OF FIXTURE OR ITEM FEE
4 WATER CLOSET(TOILET) @ $1.00 $' OO
BATH TUB @ $1.00 t n
SHOWER @ $1.00
4 LAVATORY (WASH BASIN) @ $1.00' 4- OO — f
KITCHEN SINK @ $1.00 ,�+
;q
DISHWASHER @ $1.00 2��7 .� � /1� (`r .S it
LAUNDRY TUB OR TRAY @ $1.00 �(/� )1IJi ,STl+(�` /i&7 6,-
CLOTHES WASHER @ $1.00 f
WATER HEATER @ $1.00 • OO
GAS SYSTEM @ $1.00 .
UNf78L6` TO CMA_C<r FiivHG PLaG
APPROVALS fJ��Gd�Ta,2s_ 2j
DATE INSPECTOR'S SIGNATURE
s
U:YDER SLAB WORK
PERMIT S i 00 - ROUGH PLUMBING 2- WWI_r,'(4,
^ GAS PIPING
TOTAL FEE ZZ OO GAS VENT / `Ja�.pr /
[�
I HEREBY ACKNOWLEDGE THAT 1 'HAVE READ THIS APPLICATION HOT WATER HEATER c3'/ lJ f+ �1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF q �.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED- /; •'�,)'fad'TJ;�/
DESCRIBED RESIDENTIAL PRO ERTY.
SIGNATURE
OF PERMITTEE FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M..O. CASH
_ C039651n NOV 1 3 11 .00 .9