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HomeMy Public PortalAbout6030 1/2 GOLDEN WEST AVE_Plumbing__ 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 603 Golden -West JOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN, SUP T of BUILDING LOCALITY Temple City'o Calif, FOR APPLICANT TO FILL IN NEAREST Garibaldi CROSS ST. NUMBER FIXTURE OR ITEM OWNER 1 WATER CLOSET 1 00 BATH TUB ADDRESS 6032 Golden W�8t SHOWER CITY TEL.NO. 3. LAVATORY 3.000 CONTRACTftbb:.n@ & T"am Plb&p & Ht 3. SINK 3.000 ADDRESS 8630 Norwalk Blvd, DISHWASHER CITY Los �i®t019 TEL.NO.M2d1286 LAUNDRY TUB CONTRACTOR'S STATE REGISTRATION NO. 15627P. 0-56 COUNTY CLOTHES WASHER 1.00 O DIST - CT NO GROU ZO READY FOR INSPECTION 1 WATER HEATER 1000 1 GAS SYSTEM 1.00U INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING , PERMIT S 1 00 GAS PIPING TOTAL FEE 00 GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING 1 �A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ��/� - g D� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AIA HE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIA P O ER7Y ^ - SIGNATURE OF PERMITTEE / FINAL Q Gb+ t ©z 'V LIDATION ROBERT A WOOD, SUPERVISING MECHANICAL ENG R CK M O CASH [,ACO 1 r 4 6,"R• MAY 22- 3-A 8.0 0 M 76A667-CE817-8-57 APPLICATION! FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ J , BUILDING AND SAFETY DIVISION BUA ILDINDRES LJ. JOHN A LAMBIE COUNTY ENGINEER r� CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY z' FOR APPLICANT TO FILL IN NEAREST , CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL �j BATH TUB ADDRESS c 44 i SHOWER CITY „TEL.NO. LAVATORY CONTRACTOR�� i SINK ADDRESS DISHWASHER CITY] �j w(��' NO. , �CQ i L LAUNDRY TUB CONTRACTOR'S /-, STATE REGISTRATION NO. (� G L3 v' COUNTY CLOTHES WASHER DISTRICT NO GROUP ZONE I READY FOP INSPECTION WATER HEATER f GAS SYSTEM INDUSTRIAL p WASTE APPROVAL INSPECTION RECORD a APPROVALS DATE INSPECTOR S SIGNATURE @ $1.00 PER ITEM v OR FIXTURE $ /f UNDER SLAB WORK G� ROUGH PLUMBING PERMIT S 1 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT L::D THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AMREGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS NTY AND STATE OFCALIFORNIA OR THAT I AM THENER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDE OPER1 SIGNATURE OF IOF PERM TTEEV FINAL t �L,A4Al © VALIDATION ROBERT A wooD. SUPERVISING MECHANICAL ENG'R CK M 0 CASH LACO 2394".60, Jul 30 5 A 300