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HomeMy Public PortalAbout5338 GOLDEN WEST AVE_Plumbing__ A-C '7 91-'5-/ i 76A607-CE617 10-60 APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER r7.. DRESS 6-338 �.Q� 6ve� WILLIAM A. JENSEN, SUPT OF BUILDING CALITY ^ FOR APPLICANT TO FILL IN NEAT © �—� CROSS ST. NUMBER FIXTURE OR ITEM ` _ OWNER �/?'(,a � WATER CLOSET MAIL BATH TUB ADDRESS T 2E . Q SHOWER CITY �� TEL. NO. , r CONTRACTOR K/ LAVATORY SINK f ADDRESS 12 2 o,4 l DISHWASHER CITY TEL. NO.Gi_D2O8A CONTRACTORS /g�9 LAUNDRY TUB REGISTRATION NO. f COUNTY f CLOTHES WASHER DISTRICT NO. _ GRO I IfNE T9599491mBY WATER HEATER (9 GAS SYSTEM INDUSTRIAL WASTE APPROVAL �. INSPECTION RECORD O w O Lu IL H z @ $1.00 PER ITEM/ �/J `OR FIXTURE $ � V (/ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK—L� TOTAL FEE 3 V V ROUGH PLUMBING y v v GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT _ �J WITH ALLCOUNTY ORDINANCES -AND STATE LAWS REGULATING I PLUMBING. HOT WATER HEATER / 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF � CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST yLj DESCRIBED RES I DENTIA ROPERTY. // L-L'.V- UTILITY CO NOTIFIED Rb. SIGNATURE '_U ol ) / 0 �o OF PERMITTE 1 a FINAL AP)h, 4e.� VALIDATION ROBERT A'WOOD r CK. M,0* CASH SUPERVISING MECHANICAL'ENG'R _ nth U .'J 6 til c NOVJ � 1 3 .0