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APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION Z07 zS`
FOR APPLICANT FILL IN (PRINT ORTVPEI
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NUM8E0.
FIXTURE ORR ITEM
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FEE
WATER CLOSET
LOCALITY 1.
BATH 7U6
NEAREST
CROSS ST. V 7`
5HOWER
OWNER A
LAVATORY
MAIL ADDRESS % �+
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CITY LehJ TEL. N01g.3
DISHWASHER
CONTRACTOR, OX1,A41 ,tjSGi/aF..
CLOTHES WASHER
ADDRESS �793 4/-ARe0k1 w
SWIMMING POOL RECEPTOR
CITY �.TEL. NO. ^S'
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LAWN SPRINKLER SYSTEM
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LICENSE STATE NO. •GrE9 [ �p CLASS
WATER HEATER
GASSYSTEM OUTLETS
DISTRICT NO.
GROUP
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5 PERSYSTE.M
INDUSTR1Ai
WASTE APPROVAL
INSPECTION RECORD
Plan cheek fee
PLUMBING PERMIT ISSUING FEE $
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TOTALfEE
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Plan check applkom
Nome
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
- Address
ROUGH PLUMBING
City Tel, No.
GAS PIPING
I HERESY ACRNOWLE06E THAT I HAVE READ THIS APPLICATION AND STATE
T1Mi TM E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS RFGULATfMG KUMEYNG.
HERESY CERTWY THAT I AM PROPERLY REGISTERED ARO/OR LICENSED AS
REWIRED SY LOS ANGELES COUNTY AND STATE OF CALIFORNN! OR THAT I AM ME
LEGAL OWNER OF, A" INTEND TO RESIDE IN THE ABOVE DEBCRIGEO RESIDENTIAL
- PROFFNTV. -
516NATURE / .
OF PBRMITTE@ G1� !�
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
UTILITY CO. NOTIFIED
FINAL
PLAN CHECK VALIDATION CN. MO. CASH PERMIT VALDATION dl. M.a CASH
6 1723 2-978 5 1 0*
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