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application for building permit DIVIS. ON OF AND SAFETY Department of County Engineer County of Los Angeles JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUP'T OF FOR APPLICANT TO FILL IN ADDR ES / U2^il Sf Ha W lot NO.,k.J^ ^7^7 TRACT ^0-4^^ $bjd BLOCK ' LOCAL TY NEAREST CROSS ST. DISTRICT NO. MAP NUMBER 7 C-lO SPECIAL CONDITIONS STATE HWY. NO. OF BLDGS. ^ SIZE OF LOT //.V y NOW ON LOT C' USE OF j./ - EXISTING BLDG. /v/5 OWNER /Z\, ~7/0 ^Hw S ARCHITECT OR ENGINEER CONTRACTOR "S/ WfeS 7^A?/\/ TEL. NO. No!" SETBACK FRONT P. L. YARD TRACT DWELL. DWELL. DUPLEX APT. COMMERCIAL HWY UNIT UNIT 2 UNITS UNITS STREET NAME INDUSTRIAL PUBLIC BLDG. AODN.. ALT., ETC. MISCEL. INSPECTION RECORD EXIST. WIDTH DESCRIPTION OF WORK j t NEW*.'^ ADD ALTER REPAIR DEMOLISH SO. FT. ^ / ^ ^ NO. OF J NO. OF SIZE STORIES / FAMILIES USE OF STRUCTURE SIGNATURE OIJ APPLICANT. jt VALUATION P. C. FEE *7.00 FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONSTRUC TION. SIGNATURE OF_ PERMITTEE'S - JOHN A. LAMBIE. COUNTY ENGINEER FOUNDATION: LOCATION FORMS. MATERIALS FRAME: FIRE STOPS, BRACING. BOLTS FURNACE: LOCATION. GAS VENT. DUCTS LATH. INT. LATH. EXT. HOUSE NUMBER COR RECT AND POSTED FINAL INSPECTOR S SIG TURE VALIDATION ^ clyoe n. dirlam, chief bldo. inspector CK MO CASH ^ U7-? 8 ir,- m28 6 f' i y.co 3 4.;.
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76A663 DBS-SA S-S5 APPLICATION DIVISION OF AND SAFETY Department of County Engineer County of Los Angeles LIGHT OUTLETS RECEPTACLES WALL SWITCHES WM. J. FOX. County Engineer CASSATT D. GRirrlN. SUP'T OF Total Outlets ELEC. RANGES ELEC. HEATERS FIXTURES FOR APPLICANT TO FILL IN PERMIT FEES NUMBER OF LIGHT CIRCU ITS 9 NUMBER OF RECEPTACLE CIRCUITS MOTORS HORSEPOWER A LESS EACH FEE EACH.29.50.00.BO 2.SO 200 S.OO forvli CTRIC PERMIT LOCALITY NEAREST CROSS ST. _gwnef^ '7 MAIL ELECTRICIAN LICENSE NO DISTRICT NO Z-A k.' H ^ is TEL. NO. TEL. INSPECTION RECORD SEAOir FOa INSPECTION NO. SIGNS NO. SIGNS NO. TRANS. NO. LAMPS FOR EACH PERMIT: WIRING $.00 FIXTURES $.00 SUPPLEMENTARY TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAV D THIS AND STATE THAT THE ABOVE IS CORRE' :d^ano A STATE AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LAWS REGULATING ELECTRICAL WIRING. I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ABOVE DESCRIBED RESIDENTIAL PROCCRXI SIGNATURE OF PERMITTEE. BD WJLLIAM J. FOX. COUNTY ENGINE CONDUIT WIRING FIXTURES POWER UTILITY CO. NOTIFIED FINAL / INSPECTOR'S SIGNATURE '/a y\.w. A. C. VEiT. Chief Elect. Inspector
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- % ELECTRICAL CONT COMMERCIAL I3I3I CATALINA AVENUE T*t«phona Tcnia AND ENGINEERING. RESIDENTIAL *3320 CAftOENA. CALIFORNIA
Srs-.V.o APPLICATION FOR PLUMBING PERMIT DIVISION OF AND SAFETY OWNER MAIL C TY J PLUMBER ^ DepartmeBt of County Engineer County of Lob Angeles JOHN A. LAMBIE. County Engineer CASSATT D. GRIFFIN^ SUP'T OF BuiLOINO OR APPUCANT TO FILL IN Mswinui building I address LOCALITY NEAREST CROSS ST DISTRICT NO. INDUSTRIAL WASTE APPROVAL INSPECTION RECORD HtADi t Jl. ihirll r iof» TEL. NO L CENSE NO. NUMBER TYPK OF FIXTURE OR ITCM WATER CLOSET (TOILET) $.00 4 BATH TUB <3 $.00 SHOWER $.00 LAVATORY (WASH BASIN) @ $.00 KITCHEN SINK @ $.00 DISHWASHER @ $.00 V{ im; IT 'I LAUNDRY TUB OR TRAY @ $.00 CLOTHES WASHER @ $.00 WATER HEATER <3 $.00 GAS SYSTEM -t @ $.00 ttt I >-Wt - f y^z L DATE INyyOR'5 SfBWATURE UNDER SLAB WORK PERMIT TOTAL FEE ll I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY RtfdlSTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELE& COUMIW AND STATE OF CALIFORNIA OR THAT I AM THE/LEffA/ OW)CR OF THE ABOVE DESCRIBED RESIDENTIAL. SIGNATURE OF PERMITTEE ROUGH PLUMBING GAS_PIPING_ GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION Robert a. wood, chief plbo. inspector CASH M. 0. CASH ''I' z b c-r 3 5.C0 ^
TSAexaD ft s«eea n>s9 DIVISION OF AND SAFETY LEGAL DESCRIPTION BLOCK SHE OF LOT USE OF S CONTRACTOR APPLICATION FOR PERMIT SEWER SEWAGE DISPOSAL Dftportmftiit oi Coxmty Englneftr County of Los Angeles I building \ t -n i / -^ JOHN A. LAMBIE. COUNTY Engineer CASSATT D. GRIFFIN. SUP T OF Buil-oma LOCALITY a/clmj TiLft v** A/ NEAREST FOR APPUCANT TO FILL IN CROSS ST. M A ^ OWNER LOT NO. TRACT SToY NO. OF BLDGS. NOW ON LOT..PRESS /y/jc^sr^c. f>7o REGISTRATION NO. DESCRIPTION OF WORK g o tel no A/<» TL-3f~^ V / -^ATE COUNTY HOUSE SEWER CONNECTING TO PUBLIC SEWER @ S 3.50 lcc SEPTIC TANK.SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT. DRAINFIELD > EXTN..CESSPOOL.DRYWELL.MANHOLE & S 2.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM $.00 CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $.00 ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM $.00 MAIL DISTRICT NO. / lolt STATION ^ h // MANHOLE REFERENCE TYPE OF CONNECTIO CURB CO. IMP. NO. TRUNK PERMIT NO. STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL /= TEL. NO. CONNECTION DATA /s-f. DEPTH LENGTH FROM M.L. TO P.U. P. C. NO. JOB NO. ROAD PERMIT NO. CHARGES MAP BK r, / c PG /X/ UPPER ;4ki!!33i< OWNER'S AUTHORIZATION PERMIT $ 00 TOTAL FEE I HAVE AT THIS DAJE A CONTRACT WITH THE HEREIN TRACTOR TO COfMfEC\THE ABOVE DESCRIBED EXISTING TO THE PUBLIC SEWER. SIGNED THIS OWNER OR OWNERS AGENT. - f S'7^ MED CON- DWELL NG I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES A>J4,^STATE LAWS REGULATING PLUMBING AND SEWERS. I HEREBY CERTIFY THAT I LICENSED AS REQUIBA&^Y CALIFORNIA OR T DESCRIBED RESIDE SIGNATURE OF PERMITTEE )PERLY registered AND/OR LES) COUNTY AND STATE OF -.AL/ OWNER OF THE ABOVE CONNECTION CHARGE FEE REIMBURSEMENT FEE NEW HOUSE SEWER CONNECT ADDITIONAL OR WORK SEPTIC TANK, SEEP. PITISI AND/OR DRAINFIELD CESSPOOL ORYWELLD ALTER. REPAIR. SEWER OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS SEEP. PITtSi CESSPOOLSD DATE 'V/yIr/ INSPECTOR'S SIGNATURE JOHN A LAMBIE, COUN VALIDATION ROBERT A. WOOD. CHIEF Plbq. Inspector ;.^4 4.5 ^
REQUIRED INFORMAHON. INDICATE ALL S ON PROPERTY. 2. INDICATE AND DIMENSION SEWAGE DIS POSAL SYSTEM WITfi- TIE DISTANCES TO S AND' PROPERTY LiNES. 3. INDICATE SIZE OF SEPTIC TANK-^DEPTH OF SEEPAGE PmS>-SlZE.OF CESSPOOLIS). 4. Indicate north direction on plot. 5. INDICATE BOTH STREETS IF CORNER. FOR DEPARTMENT USE -V ST. ALLEY R/W -X FIELD NOTES
7eA«9«A t*b9 DB«.S APPLICATION FOR PERMIT 74J / 7 J DIVISION OF AND SAFETY Dsportmsnt oi County Engineer County oi Los Angeles JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUP-T OP BuiLDINO AODR ESS LOT NO. TRACT FOR APPUCANT TO FILL IN li^-z y BLOCK LOCALITY NEAREST CROSS ST. DISTR^ NO. MAF NUMBER USE ZONE GROUP SPECIAL CONDITIONS V»-OC SEWER BK 8TATE^ Xv H'Wr YES SIZE OF LOT EXISTING BLDG. ^ -t OWNER NO. OF BLDGS. NOW ON LOT ^.i ' ^ ' TEL. O^W. ' NO. ARCHITECT OR ENGINEER ' TEL. NO. CONTRACTOR /^A L address'/a^/ ^ DESemPTfON OF WORK SETBACK 2 3 4 FRONT P. L. SIDE P. L. trjcct dwell. DWELL. DUPLEX APT. YARD COMMERCIAL hwy / ' UNIT UNIT UNITS UNITS STREET NAME INDUSTRIAL PUBLIC BLDG. ADON.. ALT.. ETC. MISCEL. mspectloh RECORD EXIST. WIDTH NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE * T VALUATION ^ -----^ ^ ^ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONSTRUC TION. SIGNATURE OF PERMITTEE-. 7 JOHN A. LAMBIE. COUNTY ENGINEER 0CT249B7 i> - S5 DIfiT 7 FOUNDATION: LOCATION FORMS. MATERIALS FRAME; FIRE STOPS. BRACING. BOLTS FURNACE: LOCATION. GAS VENT. DUCTS LATH. INT. LATH. EXT. HOUSE NUMBER COR RECT AND POSTED FINAL VALIDATION MO CASH DATE INSPECTOR'S SIGNATURE <2- t., CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR 2 2 3ft 0CT24 2.00»
7«Ae«7 0es>7 lo-sb OWNER APPLICATION FOR PLUMBING PERMIT DIVISION OF AND SAFETY Deportm«nt of County Engineer County of Los Angeles JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SuP'T OF MAIL PLUMBER FOR APPLICANT MMS. FILL IN uuml TEL. NO. % LOCAL TY CROSS ST D STR CT NO. INDUSTRIAL WASTE APPROVAL INSPECTION RECORD.-.U JKSfLLI LICENSE NO. TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET! @ SI.00 BATH TUB @ S.00 SHOWER @ $-00 LAVATORY (WASH BASIN) @ SLOO KITCHEN SINK si.oo u DISHWASHER @ SI.OO A LAUNDRY TUB OR TRAY CLOTHES WASHER WATER HEATER @ SI.OO @ SI.OO @ SI.OO @ Si.oo DATE INSPECTOR'S SISNATURE PERMIT TOTAL FEE OO m HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HEREBY CERTIFY THAT I AM PROPERLY Rl LICENSED AS REQUIRED BY LOS ANGELES COu/ CALIFORNIA OR THAT I AM DHZ L^G/L 0W DESCRIBED RESIDENT!^ SIGNATURE OF PERMITTEE JOHN A. LAMBIE, COUNTY ENGINEER ISTERED AND/OR Y AND STATE OF CF THE ABOVE UNDER SLAB WORK ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED FINAL LAUDATION U. 0. CASH li.r,4 0 2 IK 0CT2 ROBERT A. WOOD, CHIEF Plbo. INSPECTOR 3 5P0 T
---- application for building permit AND SAFETY DIVISION Deportment of County Engineer County of Los Angelei JOHN A. LAMBIE. County Engineer CASSATT D. GRIFFIN. SUP T OF FOR APPUCANT TO FILL IN LOT NO. J2. *7 Cr» BLOCK ' TRACT ^ D. y ^ NO. OF BLDGS. SIZE OF LOT K NOW ON LOT LOCALITY DISTRICT NO. 7 STATISTICAL CLASS. NO MAP NUMBER USE ZONE hj L<P 'K 0 5 e C R A f\/j' >q V t. OUP» SSIFJCAT ON SPECIAL CONDITIONS CONST. ELL. UNITS SEWER MAP BK PG OWNER AIdhaJ ^ASD<^aJ ^ i'-ress / 7JJ ^VUE.,//I(5/3A/e, I -AW A/ /{^ L NO. ARCHITECT OR TEL. ENGINEER NO. CONTRACTOR/I, ACLt?. NO.// ^ C/ \/c*aaaj DESCRIPTION c5f WORK SETBACK FRONT P. L. SIDE P. L. YARD HWY STREET NAME INSPECTION RECOBD CL c^ll //i W 4// M EXIST. WIDTH /So' NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE ^, A' o/t> roi f ki SIGNATURE OF APPLICANT VALUATION 0 UJ P. c. FEE PEE FOUNDATION: LOCATION FORMS. MATERIALS FRAME: FIRE STOPS, BRACING. BOLTS FURNACE; LOCATION. GAS VENT. DUCTS DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUJ REGU^TI^ CONSTRUCTION. SIGNATURE PERMITTEE. OP. //(^\ ^ JOHN A. LAMBIE. COUNTY Engineer. ^ 7t^. PLAN CH X:K VAUDATION CK. h.o. cash LATH. TNT. LATH. EXT. HOUSE NUMBER COR RECT AND POSTED FINAL CLYDE N. DIRLAM. PRINCIPAL 5TRriifCSv wral Engineer PEUm VALIDATION f/ck. I H.O. cash UV4 3 7?^ 0CI25 4.00 (^.fculi
76P463- CE8K*^ Qib 3>56 PLOT PLAN Building COUNTY OF LOS ANGELES OCFARTMCNT OF COUMTY ENGINCKF Building and Safety Division John a. Lamsic. County Engineer /o./au>y/o Rn/e. District no Permit PATg / 0 / * lo- P- u7 J- \ JH J A''. j 6 V /TV^ / P<g ' t it \hl 4- t ^ *v :3aJr-» t Y af 4- -ViB I IW J ft kt -L )' ji j/, 4 ta^ Cft On / \. A f- A- r? * T r> r (7-7, ^ /? -*"5^ f Si r t O Kpf { <- \' k a /I ' V A \ 7" O "H 7 ' V 7A!»V f) N z -V, L. / -< I I V ir;/ L_ / V il f I 7 7* - /lu / k/ z HEREBY STATE THAT THIS PLOT PLAN AND THE DIMENSIONS SHOWN ARE CORRECT; ~r A(&j a^.(^ Vr z V % - LOCALITY- Hy. _z Vi > / J - >
..A«,ceace o.e APPLICATION FOR ELECTRIC PERMIT L AND SAFETY DIVISION Department oi County Engineer B County of Los Angeles A \ qhts JMBER JOHN A. LAMBiE, COUNTY Engineer CASSATT D. GRIFFIN. Sup'T of FOR APPLICANT TO FILL IN PERMIT FEES TOTAL OUTLETS RECCPTACLES EL C RANCEt. WATER HEATERS. CLOTHES DRTERS ELEC. EFACE HEATERS, STAT'T. COOK- INS UNITS. 6ARSA6E DISFOSCRS. AUTO WASHERS. DISHWASHER LISHTINS FIXTURES MOTORS HORSEPOWER Vi e LESS 200 SWITCHES.lO.so.28.0.28.80.00.80 2.80 8.00 LOCALITY NEAREST CROSS ST. OWNER MAIL ^ /\i "Po C \? AAJ 5 AuZ. Luli^pajc I ^\j Mf\AN(p/ie //I TEL. NO. ELECTRICIAN ^ ^. S / A/ frt I fc- i ^ ic ft:. NO STATE LICENSE NO. DISTRICT NO. 7 l // T GROUP ZONE READY FOR INSPECTION. b A-' C/a,. INSPECTION RECORD U;I({ /?<- > STTf ti, ~ ^ / SIGNS SERVICE o eoov NO.TRANS NO. LAMPS.00 SERVICE OVER 600V 8.00 WIRING PERMIT l.oo y FIXTURE PERMIT.00 SUPPLEMENTARY PERMIT TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OP THE ABOVE DESCRIBED RESIDEI )E^AL PmXERTY.. SIGNATURE OF PERMITTE JOHN A. LAMSIE. County Engineer CONDUIT^ WIRING FIXTURES /KLpATION / CK CASH UTILITY CO. NOTIFIED / y INSPECTOR S SIGNATURE ARTHUR C. VEIT. Supervising Electrical Engineer if 4 3 6!S 0CT25 2 2.C0 ^
7«A6saA celeoa - APPLICATION FOR PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY Engineer CASSATT D. GRIFFIN. SUFT OF BJILDINQ FOR APPUCANT TO FILL IN ADDR^SS/'<^^/ *7 ^C> LOT NQJ TRACT SITE OF LOT USE OF EXISTING BLDG. OWNER ADDREss/^^^g y 7 ARCHITECT OR ENGINEER /'/} /i^/^lock NO. OF BLDGS. NOW ON LOT TEL. NO. TEL. NO. LOCALITY DISTRICT NO. USE ZONE ' a SETBACK FRONT P, L. SIDE P. L. SPECIAL CONDITIONS YARD GR^P STATISTIC AL>? ^A SSIF CAT(og CLASS. NO. MAP NUMBER 'A7 DWELL. UNITt HWY STATE HWY, STREET NAME / > INSPECTION RECORD SEWER MAP Bt NO / j EXIST. WIDTH CONTRACTOy^Ay$>?f/ ///^ ^ ^ IXX ADORES DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. SIZE USE OF STRUCTURE SIGNATURE OF applican: VALUATIO NO. OF STORIES "> y~- OO \ p. c. FEE NO. OF FAMILIES 2 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION AND STATE THAT THE, ABOVE 3 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND CQNSTRUCTipWv UINAN(.bb ANU STATE LAWS SaiJi^Vi9L.,PU^itQiiA COJ FOUNDATION: LOCATION FORMS. MATERIALS FRAME: FIRE STOPS. BRACING. BOLTS FURNACE; LOCATION. GAS VENT, DUCTS LATH. INT. LATH, EXT. HOUSE NUMBER COR RECT AND POSTED DATE INSPECTOR'S SIGNATURE FINAL c -f < < V.-: ^ JOHN A. LAMBIE. COUNTY Engineer. CLYDE N. birlam. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION M.O. CASH PEBMIT VALtDAnON LjS 7j2 7r; D;J3 2.00 ^
76A667-CE873-S7 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AND SAFETY DIVISION /if J7 / ^7 S JOHN A. LAMBIE, County Engineer I----------------/ ^------- ------ CASSATT D GRIFFIN. SuP T OP LOCALITY ^^ FOR APPLICANT TO FILL IN WATER CLOSET BATH TUB SHOWER LAVATORY SINK DISHWASHER LAUNDRY TUB CLOTHES WASHER WATER HEATER GAS SYSTEM FIXTURE OR ITEM NEAREST CROSS ST. OWNER MAIL CONTRACTORy^y/V^/ ^^ jj- y-------------- 2. /^ s:> TEL.no. ^ TEL. NO. ^ CONTRACTORS C-T-C STATE I REGISTRATION NO, // COUNTY ^T NO. I GROUP ZONE ' INDUSrtllAL JL WASTE APPROVAL INSPECTION RECORD ^ READT FOR INSFCCTION 7 @ $.00 PER ITEM OR FIXTURE PERMIT TOTAL FEE,5 /OO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HEREBY CERTIFY THAT I AM PROKRLY REGISTERED AND/OR LICENSED AS REOUIRED BY LOS ANl^LES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LtjSAL OWNER OF THE ABOVE DESCRIBLD RESIDENTI^ PgPPE^Y. SIGNATURE OP PERM CK. UNDER SLAB WORK ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST UTILITY CO. NOTIFIED FINAL VAUDATION H. 0. (yrsg; DATE ROBERT A, WOOD, Supervising Mechanical Eng r INSPECTOR'S SIGNATURE Jf;.7 2 SfT. D/S3 3 2.CO