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Home My Public Portal About10400 DAINES DR_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING I DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FDX, COUNTY ENGINEER ADDRESS Ca FOR APPLICANT TO FILL IN LOCALITY - NEARESADDRESSBUILDING Q 00 L- - CROSS ST .�-. DISTRICT NO GROUP ZONE PERMI NO LOCALITY 5 1,� - r�5 / NEAREST s CROSS ST RECEIVED BY Ready for Inspection DATE/I�SS[U�E,D,�°� OWNER MAIL INDUSTRIAL ADDRESS d� Da _ WASTE APPROVAL CITY TEL NO I INSPECTION RECORD PLUMBER ADDRESS .:?,/ CITY TEL.N 9. / tl 1f� / -p/�/�_S ATE LICENSE NO f7/ °/9%r/T COUNTY J PERMIT FEES a _z -LiY©ER TYPE OF FIXTURE OR ITEM FEE I [7 WATER CLOSET(TOILET) @ 080 $ O BATH TUB @ 080 SHOWER @ 080 LAVATORY(WASH BASIN) @ 080 KITCHEN SINK @ 080 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 080 FLOOR SINK @ 080 ; FLOOR DRAIN @ 080 DISHWASHER @ 080 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM-_--_ ----OUTLETS @ 1.00 WATERHEATER @ 100 MISCELLANEOUS o APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING //S w TOTAL FEE Q GAS PIPING 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI-, GAS VENT CATION PND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS, REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED; AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY' GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIUq RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED J `f SIGNATURE OF PERM ITT - - -: - - -... FINAL 764667 DBS 17 1/53