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HomeMy Public PortalAbout5472 HILTON AVE_Plumbing__ 76A667-CES17-8-57 COUNTY OF LGSAPPLICATION FOR PLUMBING PERMIT ANGELES 1 DEPARTMENT OF COUNTY ENGINEER / BUILDING AND SAFETY DIVISION BUILDING S , +Y / Td]STATE JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY 7-.` m, FOR APPLICANT TO FILL IN NEAREST CROSS ST.NUMBER FIXTURE OR ITEMOWNER K WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO.� LAVATORY CONTRACTOR A 6 'CT �/ ✓G.SINK ADDRESS p S� /Y]C-G;DISHWASHER CITY /Me'jWI -OL/1(L TEL.NO. �LAUNDRY TUB CONTRACTOR'S REGISTRATION NO. O CLOTHES WASHERDISTRI GRD{ ZONE HE1TI.N WATER HEATER J/-T ivj GAS SYSTEM INDUSTRIAL WASTE APPROVAL d li. INSPECTION RECORD APPROVALS $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE S / /y U 10 UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1 00 GAS PIPING TOTAL FEE /..$ O O 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. IHEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF A CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIB_D RESIDENTIAL PROPER74 l/ SIGNATURE OF PERMITTE FINAL ROBERT A. WOOD. ©, CLIDATION SUPERVISING MECHANICAL ENG'R CH. M.O. CASH ! PEaV9 ..Ju 12_ 3 A 15,00' .n w � '