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HomeMy Public PortalAbout10726 DAINES DR_Plumbing__ 76A057-CE817-8-57 - APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER -' - '- - BUILDING AND SAFETY DIVISION BUILDINGn,-1, , JOHN A. LA COUNTY ENGINEER ADDRESS Q aP CASSATT D. GRRIFFIFFIN, SUPT OF BIIILOING LOCALITY r' FOR APPLICANT TO FILL IN xEAREsr � NUMBER FIXTURE OR ITEM CROSS ST OWNER WATER CLOSET MAIL n S BATH TUB ADDRESS © 10 SHOWER CITY TEL.NOGl LAVATORY CONTRA TOR SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRYTUB CONTRACTOR'W STATE REGISTRATION O: COUNTY ❑ CLOTHES WASHER DISTRICT NO` GROUP ZONE gEAVY FOR Ixsgecnox WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ 51.00 PER ITEM 9 GATE INSPECTOR'S SIGNATURE OR FIXTURE IS Z � UNDER SLAB WORK PERMIT 5 7 00 ROUGH PLUMBING �jty{/Lls.oy� GAS PIPING TOTAL FEE �F 0-0, ­GAS VENT NHEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER ASTATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS RECLINED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE AB UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE ) e OF PERMITTE� FINAL ROBERT A. WOOD, © VALIDATION SUPERVISING MECHANICAL ENG'R LH. M. 0, CASH r^, 120721 I'. 6 3 3 .00 T