HomeMy Public PortalAbout9420 LAS TUNAS DR_Plumbing__ 76,A667 (CE-817)- 5/73 -
APPLICATIO FOR�-PLU Ki BING -PERM'IT'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISIONBUILDI _
MAKE CHECKS PAYABLE TO: ;', ADDRESS
"ADDRESS �Y%1_01.
.'�•L '{4.!t:h�+ec�—�
HARVEY T. BRANDT, COUNTY ENGINEER,,,_ LOCALITY LT '
FOR.APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.,
NUMBER FIXTURE OR ITEM @ FEE ' F.—OWNER
"WATER CLOSET
1.75. I .. L C
BATH TUB 1.75
ADDRESS `U YSYv
SHOWER .1.75 CITY L TE O, is ',Lr�L7
LAVATORY 1.75" CONTRACTOR C n
SINK 1.75 ADDRESS ��! J yr= i _ y"s'
DISHWASHER 1.75 `
CITY ' TEL.'N
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 7 nL' 13, CLASS,
SWIMMING POOL RECEPTOR_ 1,75
DISTRICT NO. GROUP "ZONE OCESSEd B'Y
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1;75 INDUSTRIAL
yy WASTE APPROVAL }:
GAS SYSTEM OUTLETS 1.75 �. l 3: INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30
U
W
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE P
APPROVALS DATE ' INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ` ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND,-STATE THAT THE ABOVE IS CORRECT ANDAGREE TO COMPLY. PLUMBING FIXTURES -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUM.BIN G. - -
-I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LO
S•.ANGELES COUNTY AND STATE OF -
CALI.FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO '
'RESIDE IN THE ABOVE OE CRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTE -
PERMITVALIDATIO f cK. M.o. cns
PLAN CHECK VALIDATION CK, M.0. CASH *�
3`7 4 N APR, 3 5' D . 4.7 5 A98
I D. B. 17'4-39 25M - ' APPLICATIONS FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 41,T�
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX. CHIEF ENGINEER - -
NATURE OF INSTALLATION DISTRICT NO.' GROUP /ZONE PERMIT
f�Nyor�
.ROUGH
•PLUMBING .I FI��XT��URES .COMPLETE READY FOR RECEIVED BY. DATE ISSUED
HEATER •ESSPOOL • . SEPTIC TANK FIRST INSPECTION
GAS' '.MISCELLANEOUS47
APPLIpC/rA/NT��,'/.ILLA INN HEAVILY OUTLINED PORTION ONLYJOB
NAME .. �.-f / YG9 •/`�f ADDRESS
M .ADDRESS �� /[� .�,..�L �. �_sL�OCALITY fir' '2 ••� jr
_ A �rvEAREST
J ,..CITY o c�°t ,//,uTEL Alo 'CROSSST
tl COUNTXI. . / f f
REG. NO. �" � �• EXPIRES. �e
W NAME
LOCATION-OF SEPTIC TANK, OR CESSPOOL. 3 ADDRESS
NORTH O CITY. // �•G- l/S TEL NO.+t 1� j
./CORRECTIONS
m'
N D
W
- J
Q
Z
0
SOUTH .
DESCRIPTION OF WORK:
BATH-Tus FURNACE -
sHowEsz IilsHwasHER APPROVALS
LAVATORY -. REFRIGERATOR DATE INSPECTOR'S-NAME
KITCHEN.SINK WATER ;SOFTENER ROUGH PLUMBING
FLOOR SINK "SAND TRAP GAS PIPING -
SLOP.SINK "' -FLOOR DRAIN GAS-VENT, -
•WASH TRAY URINAL - CESSPOOL '
WATER CLOSET' - DRINKING FOUNTAIN SEPTIC TANK
'. -
�WATER HEATER' DENTAL LAVATORY '- SEWER
METER GAS SODA FOUNTAIN UTILITY CO. NOTIFIED'
OUTL
. . . - FINAL /_
,. - - I AM THE LEGAL.OWNER OF FHE A OVE LOS GELES
. .• -. ,�® COUNTY REGISTRATION NUMB �Ft.
TOTAL NUMBER'OF FIXTURES `
SEPTIC TANK PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
' CESSPOOL. . . ,.. 'ABOVE. ..
TOTAL FEE OWNER.
COUNTY of Los ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT T❑ FILL IN DISTRICT NO. GROUP ZONE PER
MIT NEI.
�pAF
PLUMBER - V READY FOR
1� RECEIVED BY FIRST INSPECTION DAI E 199 ED
ADDRESgS A� � � Ga L7 `G 1'`'>♦ 's al.,,L3 � �`� ��) fie'T y
QITY�G.S.7V"r✓CR��I -22-1.64, ADDREBUILDISS :L e) /L �Cd� 4's
COUNTY - TEL No.pp,tt
LICENSE NO. S EXPIRES CGf 30— �63 LOCALITY N
NEAREST
PERMIT FEES CROSS ST.
r I 1
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL El,
Q WATER CLOSET(TOILET) @ 0.50 $ � ADDRESS —'
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Cal 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TD COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY-THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY,�6 CENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS. Q ❑.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INS EdTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 0
Q'
0
APPROVALS
' !DATE INSPECTOR'S NAME
ROUGH PLUMBING L,i Z.I I lIN Y!A
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT1.00 GAS TEST
• I UTILITY CO.NOTIFIED _r`
TOTAL FEE $� C7 FINAL /O 1, l� Z( �(�
76A667 DBS#17 6-52
76ADBS-17'IO.55 B67 ' APPLICATION F'®-R 'PLUMBING PERMITPERMIT .�
DIVISION OF BUILDING AND SAFETY
Depm'tment of County Engineer
County of Los Angeles BUILDING.
JOHN A. LAMBIE,'COUNTY'ENGINEER ADDRESS (( V f 7
CASSATT D,,GRIFFIN,SUP'T�OF BUILDING9� MMM - LOCALITY
-
� i
FOR APPLICANT'TO FILL IN NEAREST'
�j p CROSS ST.
mmpnm�Filly
OWNER `• A J / DISTRT NO, GROUP ZONE READY FOR INSPECTION
MAIL '9 R
ADDRESS
INDUSTRIAL
CITY - TEL. NO. WASTE APPROVAL
PLUMBER , �r.rig i r9' I /� INSPECTION RECORD
ADDR S 41 yr 0-A-k1� ! r NN
H'
Q
CITY 9 .TEL. NO: L 2
LICENSE NO. -
NUMBER TYPE OF FIXTURE OR ITEM FEE -
y' WATER CLOSET (TOILET) @ $1.00 $
/ BATH TUB @ $1.00
SHOWER' @ $1.00
LAVATORY (WASH BASIN) @: $1.00 -
KITCHEN SINK @ $1.00 -
DISHWASHER. @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 -
CLOTHES WASHER .@ $1.00
WATER HEATER @ $1.00
GAS SYSTEM .@ $1.00-
APPROVALS
- 'DAtT-E INSPLCTOR'S SIGNATURE
UNDER SLAB WORK 1 1 pS,
- $, ROUGH PLUMBING
PERMIT. 7 00
f70 GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1- HAVE,READ.THIS APPLICATION HOT WATER HEATER p A
AND STATE THAT THE ABOVE IS-CORRECT AND 'AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING PLUMBING FIXTURES - r •R „,..a
PLUMBING. - _
1 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 LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED '
DESCRIBED RESIDENTIAL PROPERTY.. „ ' -
SIGNATURE
OF PERMITTEE FINAL •
JOHN A. LAMEaIE,'COUNTY EN INEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
. CK. Id.O.. CASH .
PLUMBING 1
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES euILDINc
WILLIAM 3:: FOX, COUNTY ENGINEER ;':ADDRESS r� f
FOR APPLIC NTT FILL IN LocaLlTr G C/ . lG
BUILDING fps r� �� NEAREST O
ADDRESS / s�. VV "OO CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY �I C-_O[9. B z
NEAREST
CROSS ST. � RECEIVED BY Ready for Inspection DATE ISSUED
OWNER L
MAIL �77 INDUSTRIAL
ADDRESS y(,) G; // WASTE APPROVAL
CITY p TEL.NO.4 6-'(l / INSPECTION RECORD
PLUMBER
ADDRESS
CITY TEL.NO.
STATE—
LICENSE N0. / COUNTY .J
PERMIT FEES Q
_z
4LJM9ER TYPE OF FIXTURE OR ITEM FEE t7
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80 7 — — — - ---
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCEL ANEOUS _
APPROVALS
DATE INSPECTOR'SSIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURESHEREL � ,,..�/���//�
STERED
AN,D/OR LBCENSEDIFS REQUIRED Y THAT I ABYPLOS ANGELROPERLY ES (COUNTY GASTEST //V�L !"� � Li` »'Mlo
AND STATE OF CA RN 0 THAT I AM THE LEGAL OWN.
ER OF THE ABOV D ESIDENTI PROPERTY. UTILITY CO.NOTIFIED �� 7�`t //YT'lUstaCiJ�l
SIGNATURE
OF PERMITTEE
.... ...----•-•----•--•---. ...............................................
FINAL
76A667 DBS 17 Cd b 12-53
P , 7
BS:17 12.54 f APLICA ■ ION FOR l L.UMBING ■ ERMIT ..
BS
DIVISION OF BUILDING AND SAFETY
t Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDING ADDRESS
1112-0
�J•2,(J^ t e 1-19-30
� : d Hn-5
ADDRESS /� /97
CASSATT D. GRIFFIN. SUPT OF BUM"kILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP . ZONE HEADY FOR INSPECTION
MAIL I,.�
ADDRESS
INDUSTRIAL I _
CITY TEL. NO. WASTE APPROVAL -
PLUMBER �/-/ ; Oka , INSPECTION RECORD
ADDRESS ")•
. 1S 8 J9 /r J�
CITY TEL. NO. 7-2-LO
LICENSE NO. ''T 3 �' c- C• '
NUMBER TYPE OF FIXTURE OR ITEM FEE '
WATER CLOSET (TOILET) $ -
BATH TUB
SHOWER
LAVATORY.(WASH BASIN)
KITCHEN SINK UV
DISHWASHER
LAUNDRY TUB OR TRAY L'/-F-/•�/��
CLOTHES WASHER
' TOTAL NO. @ 'O:BO APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM ?=OUTLETS @ 1.00 (J"
UNDER SLAB WORK
WATER HEATER. '@ 1.00
ROUGH PLUMBING
PERMIT 1 00 _ GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT V HAVE READ THIS APPLICATION HUT WATER HEATER 1 _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTURES `�I Z-L.i'JS%SLLM.v�u•✓C:r
PLUMBING. ,1
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST V` tl� /jA�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY TIFIED -,IZ2'!� c-4:.V C5�.@A'W d,CALIFORNIA OR THAT 1 AM THE LEGAL OWNCO..ER OF THE ABOVE `
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERM TTEE _. FINAL �7-�"I ,11c.k� 61,r«n.i
WILLIAM J. FOX, COUNT GINEER VALIDATION.
By /.Grn7" Y
. - DEPUTY..
76A667 (CE-817) - 5/73 -
APPLICATION OR PL BING -PERMIT
COUNTY OF LOS ANGELES �.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUIL' Nl
MAKE CHECKS PAYABLE TO: ADDRESS Q*,-,•. ,� �'
HARVEY T. BRANDT; COUNTY ENGINEER
LOCXiiITY ;
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST '
CROSS•ST•
I a
NUMBER FIXTURE OR ITEM @ FEE _
OWNER. , r .•
WATER CLOSET 1.75 1
MAIL,.
BATH TUB 1.75 ADDRESS'/dy�a v
SHOWER 1.75 CITY��• TE r1N 04 .'24
LAVATORY 1.75 CONTRACTOR
.SINK 1.75 ADDRESS I-YV P
DISHWASHER 1.75C rI �lC
CITY V T L.
CLOTHES WASHER 1.75y
STATE LIC !OC�,�'E!S
LICENSE•NO. 2 CLASS.SWIMMING POOLRECEPTOR 1.75
DISTRICT NO. GRO P ZONE SE •BY
LAWN SPRINKLER SYSTEM 1"75' ��
WATER HEATER 1.75 >
INDUSTRIAL .
WASTE APPROVAL a,
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER a
5 PER SYSTEM 30 O
t—
• U
rrn
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INs PECTOR'S SIGNATURE
Plan check applicant
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING'
GAS VENT
City Tel. No.
HOT WATER HE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED -
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE'OF•
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO '
RESIDE IN THE ABOVE.DESCRIBED RESIDENTIAL PROPERTY. FINAL '-•'
SIGNATU RE -OF PERMITTEE -
PERMIT VALID SON CK. M".b. CASH
PLAN CHECK VALIDATION ,CK. M.O. CASH
3. 7'6APR, :,..3 5 p 4.7-5-A798
A
76A667 (CE-8.17) - 5/73
APPLiCATI N `FOR PLUMBING- PERMIT
COUNTY'OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER
BUILDING AND SAFETY DIVISION FADDRESSLDING- I
MAKE CHECKS PAYABLE TO: �� ` y�Lwr�r•q
HARVEY T. BRANDT, COUNTY ENGINEER nL.. rFOR APPLICANT TO FILL IN (PRINT ORTYPE) RESTSS ST:•
NUMBER FIXTURE OR ITEM @ FEE I` OWNER.
WATER CLOSET 1.75'
•MAIL cr
BATH TUB 1.75 ADDRESS• 4r • r: y
Ya /
SHOWER 1,75 CITY CSL /T- TEL. NO. T 4f �-'���C%
LAVATORY - 1.,75 CONTRACTOR J
SINK 1.75 ADDRESS j,6y-y,,
i
DISHWASHER 1.75CI
TY,. ,��1's� TEL. NO.+�/�Q-7
CLOTHES WASHER 1,75 STATE LIC
Y 'LICENSE-NO.._riZ-733 CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO; GROUP ZONE CESSED BY
LAWN SPRINKLER'SYSTEM• 1.75
5,o ,
� � e
WATER HEATER 1.75 S -
INDUSTRIAL
WASTE.APPROVAL
GAS SYSTEM OUTLETS 1.75 J S ` INSPECTION RECORD O
U
OUTLETS OVER ,30 s
5 PER SYSTEM
� O
F-
j,. W.
a
Cn
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S -3 00
TOTAL FEE G
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH-PLUMBING
Address GAS PIPING . ,.'7 •�
City Tel. No. GAS VENT
HOT WATER'HEATER s i �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION'
AND STATE THAT THE ABOVE IS' CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
GGAS TEST
PLUMBIN . "� 7A
.1 -HEREBY CERTIFY THAT LI AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. r,p�� p g�
F I N A L V"'/C -74� W/
SIGNATURE . -
OF PERMITTEE 7 �— 1 .
PERMIT VALIDATION CK.' �.0. CASH
PLAN CHECK-VALIDATION CK. M.O. CASH
3-.7 S'a APR 3 5< D J 650 ,&98
.: 76AG67 8-
CE 817 8-58 APPLICATION FOR PLUMBING PERMIT . 1
BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING ZQ
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS
CASSATTD.GRIFFIN,SUP'T OF BUILDING ./jam �'` _
LOCALITY ��—�" o
FOR APPLICANT TO FILL IN NEARESCROSS T.
OWNER ` DISTRICT NO. GROUP ZONE) READY FOR INSPECTION
MAIL
ADDRESS ��/ I c—G I ,_,�
CITY TEL. NO. INDUSTRIAL
WASTE APPROVAL.
PLUMBER J. A Ok. Y V INSPECTION RECORD
ADDREESSI � 14 IJ
CITY M j Gf / TEL. NO 2!jf t1
ir
LICENSE NO, —
NUMBER TYPE OF FIXTURE OR ITEM 1 FEE
WATER CLOSET (TOILET) @ $1.00 $ Q
BATH TUB @ $1.00 C
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
PATq I CT011 SIGNATURE
UNDER SLAB WORK t
PERMIT $ ROUGH PLUMBING
7(001 GAS PIPING
TOTAL FEE GAS VENT
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT ANSTATE 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 �f^ 'SJR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI OPERTY.
SIGNATURE A '�
OF PERMITTEE •v FINAL ,
ROBERTA.WOOD,
JOHN A. LAMBIE. O TY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CACAS/
41113' M15 3 A 6.00 M