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HomeMy Public PortalAbout10630 LIVE OAK AVE_Plumbing__ - 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING _ ADDRESS -� JOHN A LAMBIE, COUNTY ENGINEER CASSATT D GRIFFIN, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY T . O. LAVATORY CONTRACTOR SIN% ADDRESS DISHWASHER CITY Vt.NO. ` / LAUNDRY TUB CONT TOR'S S ATE REGISTRATION NO. COUNTY CLOTHES WASHER DISTRIC GROUP ONE READY FOR INSPECTION WATER HEATER _ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ 7 UNDER SLAB WORK / PERMIT S 1100 ROUGH PLUMBING GAS PIPINGF�y�Liy, TOTAL FEE GAS VENT 1 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS-TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEG OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENT PROP TY SIGNATURE OF PERM ITTEE FINAL ROBERT A WOOD, ©s VALIDATION SUPERVISING MECHANICAL ENG R M O CASH 8.00 LA c . r - 76A[.r=�I-.fir:^l7- i APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST. ��)�� 3-0--- BUILDING AND SAFETY DIVISION /"y"_ gt Live O ak JOHN A. LAMBIE. COUNTY ENGINEER YY CASSATT D. GRIFFIN. SUPT OF BUILDING El Monte California FOR APPLICANT TO FILL IN El Mont C NUMBER FIXTURE OR ITEM WATER CLOSET OWNER John Rodak MAIL BATH TUB ADDRESS 63 "S Camino Heal— SHOWER CITY • TEL.NO. LAVATORY CONTRACTOR DUCE PLUMBING & BATING SINK ADDRESS 3232 No. San Gabriel Blvd*. DISHWASHER CITY S. San Gabriel TEL.NO. AT-04931 LAUNDRY TUB CONTRACTOR'S STATE ❑ REGISTRATION NO. 104979 COUNTY ❑ CLOTHES WASHER -- DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER I A-1 l.. GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1 00 - GAS PIPING TOTALFEE 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 THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESD= RFLjMlNL?R C&E Fa IN SIGNATURE OF PERMITTEE L-' FINAL ROBERT A. WOOD. `)� VALIDATION SUPERVISING MECHANICAL ENG'R CK. M. 0. vASH/ G 2 6 7 5 S ,W 9 3 A 2.00