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Home My Public Portal About4835 FIESTA AVE_Plumbing__ 76A887 - c Iv Y Or- I G-z 101-),--CIT 1 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER ''/�/ (�/�y'�., I WATER CLOSET $1 25 MAIL BATH ,PUB 1� rl� .D ADDRESS CITY ;TE NO SHOWER 125 LAVATORY 125 J CONTRACTOR r / r SINS 125 ADDRESS ' DISHWASHER 125 CITY N LAUNDRY TUB 1 25 CON CTION COTA ❑REGIST ATION NO 4°IiCLOTHES WASHER 125 DISTRICT NO GRONE PROCESSED BY WATER HEATER 1 50 G7,Q 1 50 INDUSTRIAL GAS SYSTEM—j—OUTLETS WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O C caa Lu APPROVALS DATE INSPECTOR 5 SIGN A U UNDER SLAB WORK PERMIT $ 2 00 r © 0ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I 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 OF AND INTE D TO RESIDE IN THE ABOVE DESCRIBED RESID NTIAL OPERTV UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE fz FINAL �I✓1- fy VALIDATION ROBERT A WOOD cK M O CASH SUPERVISING MECHANICAL ENG R Lko867t JAN 11 5 D 1500' �V_ - -