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Home My Public Portal About9706 BROADWAY_Plumbing__ 76A667-CE6173.59 60o APPLICATION FOR PLUMBIN PERMIT CaUNTY OF LOS �] DEPARTMENT OF COUNTY ENGINEER / sQ BUILDING AND SAFETY DIVISION LDRSS CAON ADLAMBIE, Covt7 Evgweer ADE ATT . GRIFFIN, Supt ofBwldivg OCALT FOR APPLICANT TO FILL IN CHoss$sT. NUMBER FIXTURE OR ITEM 7 OWNER WATER CLOSET MAIL r BATH TUB ADDRESS I CITY TEL. NO. SHOWER yCONTRACTEONTANA PLUMBING CO^ITRACTORS LAVATORY SINE ADDRESS 13329 E. Ecto- Street DISHWASHER CITY City of Industry, oufNo. ED. 7-7226 CONTRACTOR'S {(.96446 STATE L]LAUNDRY TUB REGISTRATION NOR' COUNTY ❑ CLOTHES WASHER DISTRICT N GROUP ZONE PRqESSED BY /C_ WATER HEATER V' I t1 f �H�v-✓G+/" GAS SYSTEM INDUSTRIAL ` WASTE APPROVAL INSPECTION RECORD f A/&7- RA>/. -3' pt*A eEA o fDIP 0 $1.00 PER ITEM OR FUCTURE APPROVALS okDATE INOECTOR'SS40NATURE PERMIT $ 2 QO { UNDER SLAB W K TOTAL FEE /3 40-0 ']PING PLUMBING GAB PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/0R PLUMBING FIXTURES �'3'GI 11J LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST FNL 'CI�bsA ��SM'.Y�L�1A.fTY/IJL� CALIFORNIA THAT 1 M THE LEGAL OWNER OF THE ABOVE J iH1:LY�� DESCRIBED RESESIOEN7IA OPE Y. UTILITY CO. NOTIFIED SIGNATURE • aP p `e OF SIGNATURE PERMITTE 4 FINAL 'Q- / C�1�rAL� Ig ©P 'VALIDATION ROBERT A. WOOD. - /��cla'/ M.o, cAsx SUPERVISING MECHANICAL ENG'R MtlrD 1.,6 6 7-, JUN 2 5 D 13 .00 �'