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HomeMy Public PortalAbout5327 GOLDEN WEST AVE_Plumbing__ 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES ' - DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 5327 Gol-demArest JOHN A LAMBIE COUNTY ENGINEER - CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY Tem le Cit - FOR APPLICANT-TO FILL IN NEAREST CROSS ST-. NUMBER - FIXTURE OR ITEM OWNER OwAn 71 WATER CLOSET MAIL BATH TUB ' ADDRESS SHOWER ' CITY TEL.NO. LAVATORY " • CONTRACTOR Earl - PS=ti Ss'tandl SINK ADDRESS 201No AO DISHWASHER CITY El Monte TEL NO. G,I LAUNDRY TUB CONTRACTOR'S STATE REGISTRATION NO. l4 COUNTY CLOTHES WASHER !DISTRICT GROU� -Z NE READY FOR INSPECTION , WATER HEATER -/^TY l 11 GAS SYSTEM INDUSTRIAL WASTE APPROVAL j INSPECTION RECORD L S A�ltitw �' L h'U d Com`" '3 �'AA�.._o_,,t �:��i~• APPROVALS DATE INSREe+l9R-S+SIGNATURE $1.00 PER ITEM OR FIXTURE $ 8000 UNDER SLAB WORK v IVJt�JJ ROUGH PLUMBING PERMIT S 'i- 00 ' GAS P1PlNG TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CC) AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING - I HEREBY CERTIFY THAT I, AM PROPERLY REGISTERED AND/OR ' GAS TEST l�- ` LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPER Y SIGNATURE ' OF PERM ITTE FINAL ©< ROBERT A WOOD, �rALIDATION SUPERVISING MECHANICAL ENG R �l.CK \/ M 0 ' CASH -- L' o5.2 2 8 �9, SEP 25 5A 9.00 r