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HomeMy Public PortalAbout10128 GREEN ST_Plumbing__ 76A667—CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION [NEAREST UILDING /� DDRESS CGS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING OCALITY 0 l FOR APPLICANT TO FILL IN .NUMBER FIXTURE OR ITEM WNER WATER CLOSET AILBATH TUB DDRESSSHOWER ITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS C �� DISHWASHER CITYTEL.NO. a 114, LAUNDRY TUB CONTRA T R / STATE REGISTRATION NO. f� t COUNTY CLOTHES WASHER DISTRICT N GROUP ZONEINSPECTION WATER HEATER _- 17"-I READY FOR GAS SYSTEM f INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING PERMIT 8 O GAS PIPING TOTAL FEES GAS VENT I 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. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM TH OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBLD RESIDENTIAL P P SIGNATURE s. - OFPERMITTEE FINAL - ���///��� ROBERT A. WOOD. ©' �LIDATION SUPERVISING MECHANICAL ENG'R CK. 11. 0. CASH ! G58 5 9M OCT17 5 A 3.00