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HomeMy Public PortalAbout10246 GREEN ST_Plumbing__ 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIN BUILDING AND SAFETY DIVISION ADDRESs12246 Green St, .JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER LarkvVood Const. 2 WATER CLOSET MAIL BATH TUB ADDRESS 712 Val lamb ro s a SHOWER CITFasadena TEL.NO. LAVATORY CONTRACTOR Richardd Cavanaugh P SINK ADDRESS 13 354 Central DISHWASHER CITY Chino TEL.NO. LY 8-4721 LAUNDRY TUB CONTRACTOR'S STATE Ll 155164 C-36 COUNTY El1 REGISTRATION NO. CLOTHES WASHER DISTRICT NO. I GR I Z NE READY FOR INSPECTION WATER HEATER ,�c— GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS DATE INSPECTOR'S SIGNATURE 9 OR FIXTURE ITE M $ 9.00 UNDER SLAB WORK ROUGH PLUMBING PERMIT 8 1 00 GAS PIPING TOTAL FEE 10 00 GAS VENT I HEREBY ACKNOWLEDGE THAT 1 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ 63S TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STA OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT I AM T LEGAL OWNER OF TH ABOVE Y f'. .-,.�, ♦ I DESCRIBED RESID� TY. SIGNATURE Z. -�Ca OF PERM IT FINAL © V LIDATION ROBERT A. WOOD, SUPERVISING MECHANICAL ENG'R K. M.O. CASH 2262OR MAR 24 3 A 10.00 N