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Home My Public Portal About5935 TEMPLE CITY BLVD_Plumbing__ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 20- 26 DPW 4/87 [� 76A667A ,ul sure,or a certificate of Workers'Compensation Insurance,ora CE 817(REV.8/86) certified copy thereof(Sec. 3800, Lab. C.) Policy No.® Company s COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS JCertified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING C� Certified copy is filed with the county building inspection ADDRESS J5/ department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY �► q Date ' — g Applicant [ C//B WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completod If the work involved by SHOWER MAIL the permit is for one hundred dollars($100)or loss.) LAVATORY ADDRESS �I I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 3 4� �Yf4&Z emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITYTEL. NO. •� sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM r a� ly with such provisions or this permit shall be deemed revok- STATEQ)/' LIC. ed. WATER HEATER LICENSE NO. 1S 7_ CLASS LICENSED CONTRACTORS DECLARATION '1 DISTRICT NO. JCErJDD I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM � OUTLETS 4 O 01/ 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER ° fed Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL ALIDATION DATE ILO W 1d19 License Number 6 Lic. Class V FINAL IIZ Contractor y/ dfl Cry¢Date — -- BY A I am exem t under Sec. (� III V ❑ B.BP.C. for this reason U) Plan check fee a1 �� '�~� PLUMBING PERMIT ISSUING FEE$ 0 Signature TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION PP 5 1 hereby affirm that I am exempt from the Contractor's License Name a Law for the following reason (Section 7031.5, Business and ACCT,17 Professions Code): Address 3307 16.551 1 1, as owner of the property, will do the work and the City TeL No. C r structure is not intended or offered for sale(Section 7044, 1 ITEMS Business and Professions I.:_ Code). ® ��i�9 r b.� . o Ls� CONSTRUCTION LENDING AGENCY 4�1}v 1�0 I hereby affirm that there is a construction lending agency for t50 he performance of the work for which.this permit is issued CEWI E ,[Lt (Sec. 3097, Civ. C.). Lender's Name 1 CCC—rcia1 12/28/99 Lender's Address 7314 1 Al 111)`1!6 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 autho ize representatives of is County to enter upon the above m tinned propert f . inspection purposes. 0k SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date VVORK RS' affirm that I have a c TION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby!affirm that I have a certificate of,consent to self in- 20-0026 ��6 A PW 4/87 suie'or a Certificate of Workers'Compensation Insurance,or a CE 817(REV 8/86) 'fl t,cprtified copy thereof(Sec. 3800, Lab. C.) Policy No. 0 Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspection ADDRESS Jr' 64 department. �G NUMBER FIXTURE OR ITEM @ FEE LOCALITY �G Date 11-- � Applicant `_:A Cf%Zf.ST p� A ' WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL yy, y� > tho permit is for one hundred dollars($100)or loss.) LAVATORY ADDRESS I�1�"L C1 �U I.certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER 7� CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS yy NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM CITY �L TEL. NO. /� ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION M.- OCES BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fe d,Professions Code, and my license is in full force and ef- / 5 PER SYSTEM / ` FINAL / �� n VALIDATION A (/.v" DATE License Number Lic. Class V FINAL 0C Contractor ate l� ?�� BY 1� O ❑ I am exempt under Sec. W b 0. B.BP.C. for this reason ® g Plan check fee Date — PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name L144Tov Law for the following reason (Section 7031.5, Business and Professions Code): Address 77 16050 E] I, as owner of the property, will do the work and the City Tel. No. 1 ITET-3 structure is not intended or offered for sale(Section 7044, Business and Professions Code). ® TOTAL 1 CONSTRUCTION LENDING AGENCY CECK I I hereby affirm that there is a construction lending agency for ,y�tit-1- the performance of the work for which this permit is issued CHIPLIINIE °1313 (Sec. 3097, Civ. C.). Lender's Name COM-0031 11/21/89 Lender's Address 6940 1 AN11.031 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�epresentatives f t County to enter upon the above-menned property o spection purposes. �1 ��7—�� ,SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date .7069i 17 8-130 kb APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES "PLUMBING WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DIS I�rNO. GROUP ZONE PERMIT T NO. PLUMBER R E IVED BY READY FOR DATE ISSUED A FIRST INSPECTION 0—�® ADDRESS ff�� CITY .COUNTYAA� TEL. N ADDRESS �%J. LICENSE NO. i.� EXPIRES �'� v�� LOCALITY M�� NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) (G 0.50 S ADDRESS BATH TUB' Q 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY-ACKNOWLEDGE THAT I HAVE .READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ,ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS Cgs 0.50 SIGNATURE OF WATER HEATER @.0.50 PERMITT17 � � 1 �•'' ��' SLOP SINK ® o.so INSPECTION RECORD, v FLOOR SINK ® 0.50 FLOOR DRAIN. ® 0.50 DISHWASHER @ 0.50 I. DRINKING FOUNTAIN 0.50 URINAL @ 0.50 .1 HOUSE SEWER ® 0.50 Q Z MISCELLANEOUS (� .O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.'00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( .. ) Q 1.00 SEWER PERMIT . 1.00 GAS TEST. U�PILITY CO. NOTIFIED TOTAL FEE IS 6 b FINALMAXIMUM ACCO PLISHE 8-15-51 DEPA SSM BETE 7-47 APPLICATION FOR ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES' PLUMBING WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT No. ORo N ROUGH FIXTURES l COMPLETE � d HEATER CESSPOOL I 1 SEPTIC TANK R BIV BY READY FOR pTE 188U6D FIRST INSPECTION /P �_�.� GAS, MISCELLAN US `! APPLICANT FILL IN HE/A'VII;Y UTI.INEID PORTION ONLY d' NAMEivy1��AeE/� 7 a- ¢�O av 'l�:i� ADDRESS �� /Cts. ADDRESS Erb X40!P � �//� �� LOCALITY JOB o �d� D NEAREST I •s* CITY A, 80.Ey dC Ae.V TEL.No. &Vff 0 CROW ST. COUNTY 9�p�+ CERT.No. i /cam EXPIRES MC NAME LOCATION OF SEPTIC TANS, OR CESSPOOL • MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSE SOR F THE ABOVE LOS ANGELES COUNTY CERTIFIC OF UALIFI, ATION. ) I PLUMBER I AM THE LEGAL OWNS R THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK � z BATH TUB FURNACE MOWER D ISH WASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN - WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INBP TOR•9 NAME WATER HEATER *+ENTAL LAVATORY I I /71 ROUGH PLUMBING. _ ETEp GAS SODA FOUNTAIN OUT. GAS PIPING I �� _ GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER I I S UTILITY CO.NOTIFIED I I TOTAL FEE �= FINAL D.B.S.-iz 25M SETS 12-45 �. APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �® COUNTY-OF LOS ANGELES � WM.J. FOX.CHIEF ENGINEER P`uB I NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE SO HEATER CESSPOOL I-I SEPTIC TANK EIVED BY READY FOR. DATE ISSUE FIRST INSPECTION t GAB MISCELLANEOUS APPLICANT FILL W HEAVILY OUTLINED PORTION ONLY NAME JOB�( saSL K �e ADDRESS ®(2 - ADDRE88 Limos_ �D�c�€x��/ v LOCALITY NEAREST J 3L CITY ,IDS('J� STEL.No. CROSS ST. COUNTY �e ,i , ,ty� i1 CERT.No. EXPIRES 6 E NAME ^- l� %tb'1 e W LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL 3 ADDRESS NORTH 0 ' CITY T TEL.No. 1 AM THE LEGAL POSBEB80R OF THE OVEaLOS ANGELES COUNTY CBRTIFIC7 O Q• LIFIC ION. - �� .i XYZ•• FLU' RR 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 6 owN®I CORRECTIONS sOUTjl DESCRIPTION OF WORK ATH TUB FURNACE Ch MOWER DISHWASHER C VATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP ' LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS L WATER CLOSET DRINKING FOUNTAIN DATE INSPUCTOR's N MR WATER HEATER ^ENTAL LAVATORY ROUGH PLUMBING I A RPETER�GAS SODA FOUNTAINOUTL GAB PIPING GAS VENTCESSPOOL TOTAL NUMBER OF FIXTURES (/ V SEPTIC TANKE98P00� *TEPTICTANK 86WER S UTILITY CO.NOTIFIED I ! J TOTAL FEE Y FINAL /vim 76A667C'(CE-8I7B) -9/75 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ';��l-� l , NUMBER FIXTURE OR ITEM @ FEE ADDRESS i' 4! WATER CLOSET LOCALITY r BATH TUBNEAREST CROSS ST. pG ✓� SHOWER OWNER LAVATORY MAIL ADDRESS Z�7 17 • sz e/P SINK CITY '14 '44- TEL.JY 0. DISHWASHER CONTRACTOR (Gr CLOTHES WASHER ADDRESSO Y SWIMMING POOL RECEPTOR CITY lTEL. NO. �7/1 LAWN SPRINKLER SYSTEM 04—STATE �1+�•• 9 / / WATER HEATER ry .� LICENSE NO. ov7UC11/ CLASS �r�4 O DISTRICT NO. GROUP ZONE PROCESSED BY c. GAS SYSTEM OUTLETS f� r I CIZ Q.1)/I�y o OUTLETS OVER t + 5 PER SYSTEM INDUSTRIAL uvl WASTE APPROVAL N INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ ,rid TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Fl GAS TEST ,O ,/..•./9� �" CALIFORNIA OR THAT I'AM THE LEGAL OWNER OF, A INTEN TO RESIDE IN THE ABOVE DESCRIBED RESI N RTY. UTILITY CO. NOTIFIED C!/Y SIGNATU RE OF PERMITTEE FINAL x'-75 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 3 1 5 t',O-Sp 24 ,5 �j 75-0 3 D.B.S.17 25M SETH 2-47 APPLICATION f�j(�TION FOR PIME,9T DEPARTMENT OF BUILDING AND SAFETY �j COUNTY OF LOS ANGELES PLUMBING 7 WM.J. FOX.CHIEF ENGINEER NATURE Op INSTALLATION DIS'i'i4=NO. GROUP I ZONr- PERMIT o. ROUGH FIXTURES COMPLETE SIN ,-1 162, HEATER CESSPOOL -I SEPTIC TANK. RECE BY READY FOR FIRST INSPECTION .3 DATE.1U 7 AS J MISCELLANEOUS APPLICANT FILLIN HEAVILY OUTLINCEDA PORTION OpN>L�Y'� E NAMEM- �_ NOTTINGHAM C®A JOB ADDRESS !.(;! /V" V F; �13gl r,! R ADDRESS 123 No Clove ly A VP. LOCALITY .;-f p- Cp t-17b1.' . .I CITY. TEMPLE f'��° IF. c oes�Br. I/1✓ ar -- COUNTY 6' __NAME CERT.NO. EXPIRES BO r 1•.', , LOCATION OF SEPTIC TANK OR CESSPOOL a MAIL NORTH' E O ADDRESS �,� �/�s,'Lf'y�/{J' CITY�'� / X��i s�1.' � r1TEL.No. 1 AM THE LEW►LY POSSESSOR OF THE ABOVE LOS ANGELES COUNT�Y}�CERTI�FICA n F QUAL( (CATION. •(f PLUMBER I,AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER , CORRECTIONS SOUTH DESCRIPTION OF WORK a _z BATH TUB. FURNACE ROWER DISHWASHER Q AVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK -FLOOR DRAIN WARN TRAY URINAL APPROVALS WATER CLOSET - DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER"NEATER DENTAL LAVATORY I ROUGH PLUMBING ETES . OUTL SODA FOUNTAIN CiA9 PIPING GAS VENT I 0rt CESSPOOL TOTAL NUMBER OF FI)[TURESI ' SEPTIC TANK CESSPOOL nEPTIC TANK R d SEWER UTILITY CO.NOTIFIED I TOTAL FEE (NAL :law= Is .•so � ' APPLEAMON FOS PEr ' UTNM NUMD= AND SAPEff •� � PLUMBING- 1 OovARrYr OF LOB ANGEM WILLIAM J. FOX. CHIEF ENGINEER FO �A�11'TO FI IN 41STRICT NO. GROUP ZONE PERMIT NO. S F •C�g Z 336$ PLUMSER L.fj' BY READY FORTs MMum yy FIRMT INSPECTION /1 ADDRESS rC, s7 6 y Z. C • NO. ADDR� F �'f ,. , ��.fi..fir. COUNTY N 1 ,_?Z,-, ,�� UcXNmK l/ T LOCALITY PEDW P= NCI if 1`zy1l� •�!• • MYY�sM TYR OF FINMI C OR ITIOI FEE OWNS "f V� MAIL ,� (i t.+. WATER CLOSET TOI 0.90' s ADDRESS' 1 �/ EATH TUB 0.50 -- CITY .,� ;.'•: «• Q.No�'l!..t 7-x'117 S R 0.90 1 HERESY ACKNOWLEDGE THAT' NAVE READ THIS LAVATORY WASH IN 0.8APPLICATION AND STATE THAT THEA Eli CORRECT AND AGREE TO COMPLY WITH ALL COUNTY OROINANCO AND KITCHEN MINK 0.00 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSEp THE AROVRR VALID LOG LAUNDRY TU■OR TRAY O.So ANGELES COUNTY L ENME.r OR 1 AM THE frxitOF THE RESIDENTS TY DEMCRIBEDGAS GYST UTLETS O.SOil0 PERM E OF i . '_ WATER HEATER O. BLOP MINK 0.80 MBPECMN EWA= FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 0-80 DRINKING FOUNTAIN 0.50 URINAL 0.50 HOUSE SEWER 0 0-90 MISCEI jum us , (� 1• APPHOVALB DATE IIISrmarowt IIAME ' ROUGH PLUMBING am PIPING • am VENT CEMPOOL 1.00 CEMPOOL SEPTIC TANK, iEPTIC TANK DRAIN ( ) PIT ( ) ® 1.00 SEWER PERMIT . 1.00 GAM TEAT TOTAL FEB UT ILrrY co. NOTIFIED i RINAL ,73 •,�� D.B.S.-17 25M SETS 646 4 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY. •COUNTY OF.LOS ANGELES �`��1�� ' WM.J.FOX.CHIEF ENGINEER. NATURE OF INSTALLATION . DISTRICT NO. GROUP - ZONE -.PERMINO. ROUGH. . FIXTURES. . COMPLETE' HEATER- _'CESSPOOL I-I'SEPTIC.TANK RECEIVBD'BfY- READY. DATE ISSUED. _ = FIRST I!!1FOR8P.ECTION GAS- MISCELLANEOUFEE / APPLICANT_ FILL IN HEAVILY OUTLINED PORTION ONLY .� NAM ADDRESS9 D/, Il iill JIt��1 ..ADDRESS _ . 1I•'\ a. F. -r� NEAREST. L .CITY J.:� 'pL i'I �y{`A.I LFCOUNTY CROBBST. �J��J/) l��}.�/��1+/St3'�/ CERT.NO.._ EXPIRES LOCATION OF SEPTIC TANH OR CESSPOOL+: Z MAIL ' •= 3 ADDRESS NORTH O CITY TEL.NO. ' I -AM' THE LEGAL POSSESSOR OF THE ABOVE: LOS ANGELES -�COUNTY ggCERTIFICATE Oij' 4EIFICATION. milmoeR I LT�Hrm' GALOWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J : _ DESCRIPTIO_N OF WORK • Z_ BATH TUB' FURNACE SHOWER DISHWASHER O LAVATORY REFRIGERATOR ; KITCHEN SINKWATER SOFTENER FLOOR SINK SAND TRAP -.11.LOP SINK - FLOCKDRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN:' DATE INSPRCTOR•S NANi WATER HEATER, DENTAL LAVATORY RCUGN PLUMBING I. I METER GAS- SODA FOUNTAIN OUTL GAB PIPING I ,. GAS VENT 3 CESSPOOL J TOTAL NUMBER OR FIXTURES SEPTIC TANK ` CESSPOOL SEPTIC TANK / SEWER' .UTILITY CO.NOTIFIED _ I TOTAL FEE -. FINAL 76A667-CE817 12/59 `. yI Gag a APPLICATION FOR PLUMBING PERMIT 4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - BUILDII G�AN�D SAFETY DMSION" FUD JOHN M IE. COUNTY_ENGINEER 4 WILLIAM A.JENSEN, SUPT oR BUILDaa FOR APPLICANT TO FILL IN : "NUMB FIXTURE OR ITEM /9/q'WATER CLOSET BATH TUR J .� Vc4 �l TEL NO. SHOWER i LAVATORY CONTRACTOR SM ADDRESS/0' . 3 iq/'�d�/•fll� �� ' DISHWASHER CITY A )v TEL. NO.F,4 CON - CTOW13 ATE LAUNDRY TUR REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP /Z'ONE j3 ��SE.D"yWATER HEATEB " Z 0..3v GAS SYSTEM INDUSTRIAL WASTE APPROVAL, pfl/e �fQy INSPECTION RECORD O _ V a OS 0 PER ITEM $ 0 0 APPROVALS DATE INSPECTOR'SSIGNATURE PERMIT $ 21-00 UNDER SLAB WORK ROUGH PLUMBING. , TOTAL,FEE G7 Q.. _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS PIPING . AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFYi T I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES - - LICENSED AS REQUIR LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR i AM i L OW R OF THE ABOVE DESCRIBED ED PROP UTILITY CO.NOTIFIED SIGNATUR OF PER TTE FINAL p6 ®p ATION •-ROBERT A.WOOD, CK, M,G. CAM SUPERVISING MECHANICAL ENG'R F?` G