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HomeMy Public PortalAbout5223 DOREEN AVE_Plumbing__ 76A667-CA:17 S-69 APPLICATION FOR PLUMBING PERMIT, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDTNG a7o��2�x� , JOHN A. LAMBIE, County Enginesz ADDRESS �'y j L CASSATT D. GRIFFIN, Sup I of Building LOCALITY C FOR APPLICANT TO FILL IN NEAREST t CROSS ST. NUMBER FIXTURE OR ITEM OWNER O WATER CLOSET MAIL �/ BATH TUB ADDRESS - �i/ CITY %y� TEL NO L�Q SHOWER CONTRACTOR 1 LAVATORY SING ADDRESS / � -3 DISHWASHER CITY Z j– 11*%X'-- TESL/NO.CON /-or�16 LAUNDRY TUB STATE 11EGISTRRATONSNO. IT�j�7 3E COUNTY ❑ CLOTHES WASHER DISTRICTNO. GROUP ZONE I PROCESSED BY �1 WATER HEATER j GAS SYSTEM - INDUSTRIAL WASTE APPROVAL INSPECTION RECORD s= / a SIX() PER ITEM � 00 OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE O ROUGH PLUMBING A GAS PIPINGLI�li O Lyy� 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 PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED, SIGNATURE � �� OF PERMITTEE ZZZ��/ FINAL ®F ALIDATION ROBERT A. WOOD, cK. lI B.o. CASH SUPERVISING MECHANICAL ENG'R :.f"o0 511S iv;I' 9 5 n 3 .0 © /f� D