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Home My Public Portal About5728 KAUFFMAN AVE_Plumbing__ "DFS-17 9.5$ , DIVISION OF BUILDING AND SAFETY �' Department -of County Engineer = County of Los Angeles " ;,. WM.J. FOX. COUNTY ENGINEER bUILADD EIN 5728 Y. $ Luffman 'CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY -Temple •City •FOR APPLICANT? TO FILL{I.N CNEAREST ROSS ST. L1V B Oak OWNER Gerald Liyings3 one •_ DISTRICT GROUP N .�I READY FOR INSPECTION MXIL _ADDRESS •` L - _ _ INDUSTRIAL I „ CITY TEL NO. -WASTE APPROVAL, ' PLUMBER •Belved.ere-Plumbing Co. INSPECTION RECORD ADDRESS ' i,11900 E. Garv�etA�y- [v��ej: CITY 'El MonteFEL.•NO,- 0 "`�'j836, LICENSE NO. 5472 'NUMBER TYPE,OF FIXTURE OR ITEM FEE " WATER CLOSET (TOILET) BATH TUB - SHOWER LAVATORY (WASH BASIN) - KITCHEN SINK _ DISHWASHER LAUNDRY TUB OR TRAY - CLOTHES WASHER - - TOTAL NO. @ o"eo APPROVALS' 1 GAS SYSTEMJ_OUTLETS _ @ 1 00 1.00 DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK WATER HEATER @ 1 00 ROUGH PLUMBING PERMIT S 1 OO GAS PIPING_ TOTAL FEE 2 -00 GAS VENT I,HEREBY ACKNOW.L•EDGE 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. 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST I 4 S� �'/d',f'GlsaeX C•• CSS: LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STAT OF -. CALIFORNIA OP" THAT'I AM THE .LEGAL OWNE F THE VE UTILITY CO.NOTIFIED ' DESCRIBED RESIDENTIA ROPERTY." - SIGNATURErM (� r• .OF PERITTEE - FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A.WOOD, CHIEF PLBG. INSPECTOR 74 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer D TRI, CT NO. GROUP ZDN FOR PP T TO FILL IN IV /�l 3 /z PLUMBER RECE VED BY READY FOR ,ATE 1 d D �� FIRST INSPECTION /��O ADDRESS /�-� 15 L5 4c SUILDINCIf CITYTEL N v �j/ ADDRESS COUN // LOCALITY LICEN NO. EXPIRES S7 �� T 10/1 CROSSNEARESST. ik� ..� PER IT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �ea MAIL �J� Q WATER CLOSET(TOILET) O. ADDRESS iJ' s BATH TUB T No. SHOWERY ACKNO GE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) O O APPLIC ION AND S A THAT THE ABOVE IS CORRECT AND AGREE TO COM WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 050 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 P SESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O. O ANGELES COUNTY LICE E. OR I AM THE LEGAL OWNER GAS SYSTEM-OUTLETS 0 0.40 OF THE RESIDENTIAL OP TY DEPCIBED ABOV SIGNATURE OF WATER HEATER Q D.$O PERMITTEE SLOP SINK @ CAD INSPECTION RECORD FLOOR SINK @ 450 FLOOR DRAIN @ .50 DISHWASHER @ .50 DRINKING FOUNTAIN 050 URINAL @ .50 J Q HOUSE BEWER @ .50 Z MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ I.E10 CESSPOOL _ SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @1 1.00 SEWER PERMIT 1.00 GAS TEST ® UTILITY CO. NOTIFIED / TOTAL FEE FINAL �� ///✓ �!ll �� 76AG67 DBS#17 10/52 �� J 76A667-C EMSI7 4-64 APPLICATION FOR PLUMBI G PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ry JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,( - WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE — OWNER WATER CLOSET ;1.25 MAIL .r BATH TUB 1.25 ADDRESS �y/ CITY NO 0!o SHOWER 1.25 LAVATORY 1.251 1 CONTRA OR Gfjyy- S SINK 1.25 ADDRESS F! DISHWASHER 1.25 CITY P TEL. NO�� a $d CONTRACT 'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. /C 6 COUNTY 0 CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V O E— V W n. N z APPROVALS DATE INSPECTOR'S SIGNATURE kPERMIT $ 2 00 UNDER SLAB WORKROUGH PLUMBING OTAL FEE575 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 HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROP LY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS AN ES COUNTY AND STATE OF CALIFORNIA OR THAT i A THE LE AL OWNER OF,AND INTEND TO GAS TEST RESIDE IN, THE ABOVE DE RIBED ESIDENTI PROPERTY UTILITY CO. NOTIFIED SIGNATURES OF PERMITTEE FINAL f"..e-._ VALIDATIROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R Ll►,O 3 7 0 7'10 JUL 2 5S D 3.50- r D.e: 17 25M•SETS 12-43• APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY : PLUMBING 7 COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP /�ZZO -syP MIT O. ROUGH FIXTURES COMPLETE � t ! -, d ?1 6— HEATER -CESSPOOL I—I SEPTIC TANK RECEI•V' D BY READY FOR DATE ISSUED //�// FIRST INSPECTION v� r AS MISCELLANEOUS t V t APPLICANT FILL IN HEAVILY OUTLINED P�O/RTION ONLY E NAME//( l.� / //71'//✓f�L �tl/VNL. ADDRESS /7 W ADDRESS / ,) ,LZ LOCALITYt'_i� ldJ__ el.G A t i a j �� NEAREST y GITYb/.°r"21'Z I:LA.e � � TEL.No. CROSS OT. I��2 d��3�vbGt✓�i. COUNTY / V CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL. z MAIL / ADDRESS NORTH O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLuMBaR / I AM'THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. R a 3 N OWNER I CORRECTIONS SOUTH J DESCRIPTION OF WORK BATH TUB FURNACE 9 • Q' 92HOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE 1lIBPQCTOR'B NAMQ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK / SEWER UTILITY CO.NOTIFIED TOTAL FEE7a;F-417 FINAL � �� I s� 17 9-49 ® APPLICATION FOR PERM DEPARTMENT IT RTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER ReVere Servied-Coro. RE LVED BY READY FOR DATE ISSUED * (� ,,,y - ,l, � FIRST INSPECTION J _ ADDRESS 11811 Teale St. G � , BUILDING A CITY .Culver, City TEL. NO. EX 72153 ADDRESS 1714S. k�auf'�n ALIO COUNTY �� C9 LOCALITY enmle City y LICENSE NO. 6750 ld EXPIRES O' NEARESTT i PERMIT FEES CROSS ST. Live Oak Ave. NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER G. H. biyingston. ---(•_— MAIL '►7�ALLe BB YO WATER CLOSET (TOILET) n 0.50 I S I ADDRESS vb BATH TUB @ O.SOI I CITY TEL. NO. SHOWERcCD 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) n 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK a 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY CCD 0.50 ANGELES COUNTY LICENSE-, OR I AM THE LEGAL OWNER OF THE RESIDENTIALIPROPE5MY DESCRIB AB(SVE. GAS SYSTEM—OUTLETSQ 0.50 SIGNATURE OF�- WATER HEATER C� 0.50 I PERMITTEE /✓Y/ ?/J/..�� /�/� 1/./ � SLOP SINK 0.501 TINSPECTION RECORD FLOOR SINK 0.501 FLOOR DRAIN @ 0.501 DISHWASHER O 0.501 DRINKING FOUNTAIN n 0.501 URINAL Ctil, 0.50 W I Q J HOUSE SEWER @ 0.501 V MISCELLANEOUS I '� Vlotor Softener 50 o I-1 ' I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING - i GAS PIPING II GAS VENT CESSPOOLICD 1.00 I I CESSPOOL SEPTIC TANK: I I SEPTIC TANK DRAIN ( ) PIT ( Q 1.00I I SEWER PERMIT . . I 1.00 GAS TEST I _ I I ---750UTILITY CO. NOTIFIED ' FINAL TOTAL_ FEE $ DOS-17 I2 ■APPLICATION ®R PLUMBING BING Y EFiMI ■ . as.I7 DIVISION OF BUILDING AND SAFETY 1 Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER BUILDING ADDRESS CASSATT D.,GRIFFIN, SUP'T'OF BUILDING - f LOCALITY FjQR APP O FILL.IN NEAREST 1 ^, CROSS ST. OWNER DISTRICT NO. GROUP ZON7� READY OR INSPECTION MAIL' 45 ADDRESS c - INDUSTRIAL I - CITY TEL. N All WASTE APPROVAL PLUM INSPECTION RECORD ADDRESS q qq ' � j V CITY`? TEL. N tJ LICE /IE N NUMBER KPE OF FIXTURE OR ITEM FEE �y WATER CLOSET (TOILET) BATH TUB SHOWER LAVATORY (WASH BASIN), - KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER - TOTAL NO. @ 0.60 APPROVALS DATE INSPECTORS SIGNATURE GAS SYSTEM OUTLETS @ 1.00 UNDER SLAB WORK WATER HEATER @ 1.00 ROUGH PLUMBING PERMIT S' OO GAS PIPING TOTAL FEE / $ GAS VENT 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 REGWLATING PLUMBING FIXTURES_ PLUMBING. IHEREE BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS AI+1'GEL`ES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT I ,/ISM T;I LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP TY. SIGNATURE OF PERMITTEEc;;_ _1/_1_ ✓ FINAL _Q J ;� ��; ,'C f� 1�F r+• WILLIAM J. FOX, COUNTY ENGINEER VALIDATION . 2'2 ® atem 4 3 1e80 BY DEPUTY WORKEa CE s»RS'COMPENSATION DECLARATION 81 w ) APPLICATION FOR PLUMBING PERMIT I hereby, affir that I have certificate of consent to self ce (z-ao insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800Lab.C.) I�� v COUNTY OF LOS ANGELES BUILDING AND SAFETY o. Policy N . Comp any Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 7� zl Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE department. WATER CLOSET LOCALITY C! c el Date Applicant NEAREST / / BATH TUB CROSS ST. h1 66 It CERTIFICATE OF EXEMPTION FROM WORKERS' / COMPENSATION INSURANCE SHOWER OWNER 7/i! 45.!' G76ese MAIL (This section need not be completed if the work involved LAVATORY ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL. N O. blS^ f I certify that in the performance of the work for which this DISHWASHER it permit is issued, I shall not employ any person in any manner CONTRACTOR �/t�1 d 5a �� rr 6 so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS 21 U Date Applicant 06q"Z �� W SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY 41/I �� TEL. NO.,3?14 UT U) Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. e3G Compensation provisions of the Labor Code, you must forth- LICENSE N0216 'qU CLASS SG t[ WATER HEATER e with comply with such provisions or this permit shall be deemed revoked. DISTRICT NO. PROCESSED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM tLl 9 (commencing with Section 7000)of Division 3 of the Busi- -FINAL VALIDATION ness and Professions Code, and my license is in full force and �J( DATE _/ effect. FINAL ell License Number Lia Class G s G BY ContractorCL C 6066 Date � I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE `Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Addiess License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): I, as owner of the property, am exclusively contracting with licensed contractors to construct the project z 2 4-7,0 A (Section 7044, Business and Professions Code). #;° ° ° ° ° 5 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2'-'o 1 2 5 0 for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). ° ° ° 1 2 5 0 5 Lender's Name 1230-81 Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws'regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-me tioned property for inspection purposes. Signature of Permittee Date WOIRKUS'COMPENSATION DECLARATION 76A667A hereby affirm that I have a, certificate of consent to self CE 617 (2-60) APPLICATION FOR PLUMBING PERMIT nsure, or a certificate of Workers'Compensation Insurance,or ` certified copy thereof(Sec. 3800,Lab.C.) Ia ) it&I � ,Q COUNTY OF LOS ANGELES BUILDING AND SAFETY P � Company v , ' �_q Certified copy is hereby furnished. � -- FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS Certified copy is filed with t y building inspection NUMBER FIXTURE OR ITEM • FEE LOCALITY de t q�e_ /G WATER CLOSET _ L/F%�/,� pplicant -NEAREST j BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER MAIL (This section need not be completed if the work involved LAVATORY ADDRESS d by the permit is for one hundred dollars ($100) or less.) SINK 0 CI TEL. N (4 / O 1 certify that in the performance of the work for which this DISHWASHER el = permit is issued, I shall not employ any person in any manner CONTRAC O O so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADD RES V Date Applicant LU SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL. NO.�� r Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STAT LIC. Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO,.e CLASS with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETSDIS�T I,,CTNO. PR SSED Y LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ryVALIDATI ness and Professions Code, and my license is in full force and DATE ✓ effect. NAL License Num e12 c ST Lie.Class FBY INAL o ractor, Date I am eAFmpt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name 7 Address ��`�� '8 A I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section.7031.5, Busi- City Tel.No. e # o -0,0 o 5 ness and Professions Code): 1, as owner of the property, am exclusively contracting AIN-.° 1 2 5 0 with licensed contractors to construct the project (Section 7044, Business and Professions Code). 0:00125060 CONSTRUCTION LENDING AGENCY 12, 18 81 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize pre ntatives of this County to a ter upon the above- i ed property for inspection purpo s. Signature of Permittee Dat WORV9-RS'COMPENgATION DECLARATION APPLICATION FOR PLUMBINGPERMIT a t r vgdaffirm thatpl have a certificate of consent to self 76A667A in re,-or a'certificotq of Workers' Compensation Insurance, CE 817(REV.8/86) ILII or a"certifieaycopy thereof (Sec. 3800, Lab. C.) TY F LO ANGELES DEPT. OF PUBLIC WORKS Policy No. - Company LOU � Certified copy is hereby furnished. BUILDING ❑ LIGAN O FILL IN tetT'6R TYPE) ADDRESS Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM @FEES �,Gr �� tion department. LOCALITY WATER CLOSET Date Appli4ant NEARE CROSS ST..' ,b A CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB 7 COMPENSATION INSURANCE SHOWER f U� OWNER (This section need not be completed if the work Involved by (a �� MAIL the permit is for one hundred dollars (:100)or less.) LAVATORY ' ADDRESS I certify that in the performance of the work for which this t permit is issued, I shall not employ any person in ae any manner SINK CITY 4a, TEL. NO. so as to become subject to the Workers' �Cojmpens tion Laws. DISHWASHER �� 0�1�1 CONTRACTOR • Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 7 �i0fr 8 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions'of the Labor Code, you must forth- CITY /+ TEI. NO. f* LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE , LIC. deemed revoked. WATER HEATER LICENSE NO. �y CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �� A and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL y��y^�� DATE V LIDATION 0 License Number 4o- _E �Lv Lic. Class Cc FINAC 8 2 2 G� A 7 BY 0 Contracto �°� # o 0 0 0 0 5 Ly I am exempt under Sec. ( 0 0 3 4 5 0 � B.BP.C. for this reason e Plan check fee Dote: PLUMBING PERMIT ISSUING FEE$ ` o 0 0 3(i 5 0 Signature TOTAL FEE I a27-87 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property,. will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the b ti ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE LAk -7 Signature of Permittee bate