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HomeMy Public PortalAbout8843 ELM AVE_Plumbing__ 76A667-CE817-8-58 APPLICATION FOR : PLUMBII`IG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER <R BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE,.County Engineer a ADDRESS S g , CASSATT D. GRIFFIN Supt of Building u m, LOCALITY / FOR APPLICANT TO FILLJIN NEAREST EARCROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET - MAIL BATH TUB ADDRESS CITY TEL. NO. SHOWER _ LAVATORY CONTRACTOR Q P_, /v p4 6 n/(� SINS ADDRESS 0 /yJ ��y `, 1' DISHWASHER CITY Q 0-01C TEL. NO. g-� 1®,7 CONTRACTOR'S STATE ` #• LAUNDRY TUB REGISTRATION NO. 0 COUNTY ❑ CLOTHES WASHER DISTRIC uNO. GROUP /ZONE P CESSED B j. 'WATER HEATER y Ile- GAS e- GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD O U 47r q. @ APPROVALS $1.00 PER ITEM If OR FIXTURE $ I ©(� r DATE INSPECTOR'S SIGNATURE tb i UNDER`j ORK. 2 gr,g'rT �J. i}h ,ter✓ PERMIT $ 2100 ROUGH PLUMBING ,y TOTALFEE GASPIPING f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION , GAS VENT AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - HOT WATER HEATER �ST1 'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES �r" I HEREBY CERTIFY THAT F AM PROPERLY REGISTERED AND/OR ;- GAS TEST -/ �/ d,y/���-,J LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED .RESIDENTIAL PROPS Y. - - i SIGNATURE OFPERMITTE FINAL �-`�� _a '::.. ROBERT A.WOOD. OF 1 ATION SUPERVISING MECHANICAL ENG' 'CK. b.0. CASH . 6 9.00 1 . I