HomeMy Public PortalAbout9057 HERMOSA DR_Plumbing__ 76AS67-CE917 12159
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF GcCOUNTY ENGINEER FADDRESS
urcJOIREVAAtNsE~�FZTYYL)IVINEOERI ERS gOS7 �, HCR]COUNTY
WILLIAM A. JENSEN, SUPT OF BUILDING
LITY C—FOR APPLICANT TO Fnl IDIssx. S(lLNUMBER FIXTURE OR ITEM
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CONTRACTOR
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CONTRACTOR'S
LAUNDRY TUB REGISTRATION NO.
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WATER HE
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GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
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PER EM
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OR FAE $ Tw APPROVALS D4,TE INSPECTOR'S SIGNATURE
PERMIT $ 1 2100 UNDER WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OFF, r GC- -GC.C.C_/
/�. FINAL �oL I/r(/1.r' 7w•���
®r ALIDATION ROBERT A. WOOD,
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cg. M.D. CASH SUPERVISING MECHANICAL ENG'R