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HomeMy Public PortalAbout5557 PERSIMMON AVE_Plumbing__ 7aM7-CE817=B-58 " APPLICATION FOR. P'LU.MBING PERMIT- COUNTY OF LOS ANGELES DEPRiPF7 OUNTY ENGINEER BAFETY DIVISION An County erCN.Supt of Building LOCALITY NT TO I= IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER L WATER CLOSET bm BATE TOD ADDRESS SHOWER CITY TEL.NO LAVATORY CONTRACTOR y JIM ADDRESS d� DISHWASHER r - LAUNDRY TUB CONTEACTOWS STA REGISTRATION NO. Q!� COUNI:Y .p CLOTHES WASHER DISTRICT 111:0.j GROUP I ZONE P SSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL SPECTION RECORD � 5• �c. �M D APPROVALS @ &0 PER r= S I DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING-H . TOTAL FEE 44. GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 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 I AM THE LEGAL OWNER OF T 7BOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. ` SIGNATURE FINAL OF PERMITTE ROBERT A.WOOD. OF ALIDAT;OX SUPERVISING MECHANICAL ENG'R • J-r •H.0. CASH 4 3 8 1�'► '� 1 5 A 3.0 0