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Home My WebLink About1729A (10) j .�.. .. .. ... . .. ... . .. , . .: . .:.... ..'.��. . '..'�. -,. . :.... . ,�... . �� . , .:..., .. ' . . . I �76A667A CE 8V(REV.11/78) �4P P L,[C.AT"i�N �'�FZ P 6.e.11 11/1 �I 1�1� 1�E R lill �T COUNTY f3F LOS AN��LES �lJILDBNG AND SAFETY c-...��-,�',�lr - �-. 3.3/4 FOR APPLICANT TO RLL IN 1?RINT QR TYPr! � BUIIpING di> �{�� „ /f �r �/1l ,0 ADDRE55 �r'"r! G�I'�s'.� [;�,�C!.�r,�•.�f� �.-„�✓f NUMBER FIX-URE OR IT�M C� FFE , � '_" � LOCAL:TY ,,��'�. '`�'�,,/ ,a�,,tis.J WAT�RCIOSFT NEAREST ~�`1 �.. � 6A7H TUB — � � =�OSS ST. �'L, , - - +z--f �-r^-�=-= SHOWER OWNER �,,��,d!%,Y_-�i%t.A..� •'��<�i�� LAVATORY �,� � A'AD`RCSS t�� G''i�%"'L��^��_. c..�-'' "-`" SINK �"L-- �� ?Y 4L./!% HK.,�..�c."!� T"�L NO�,^7'�.-��/;p.,I � DISNWASHER � ;�--i ,l°"2� CCJNTRAC�O "��-�'.�;'..��.��i�, " CLOTHES WASHER � �'� ADDRcSS � � � r'.��..a`'y2a ��.��.� SWIMMING POOL RECEPTOR ciTv ._. �,,�� —`.� ' Te�.No.�"�"�__,�G"�/ �LA`�/N SPRINKLER SYSTE�M � ..�-ry�' �� . i'WATERHEATER � �j'-� ICENSENO. �l �„�� C AS5 � �GAS SYSTEM � OUTL'eT5 � � APPROVALS DATE '�iNs'a�cTo�,Sa�u�'TuaE OUTLETS OVER ' UNDEftSI.AB WORK r-;. ,,..:! N„^"$:,*� ,�� ,,a` �5 PER SYSTEM RpUGH PI.UM�EING f '" ��' � GAS?IPING � � GAS VENT � I HOT WATER HEATER � � PI.UMBING FIXTURES �` I GAS?ES? � Plan check fee unurvCO.NOTIFIED y � PLUM8ING PERMIT ISSUING FEE$ � � __ � � TOTAL FEE �" ��l FINA� �= ` �' � ,e... � Plan check appliccnt PLAN CHECK VALIDATION Name Address � City Tel.No. s�: �� `; �'.` 4' �� I HE(+.EBY ACKNOWLEDGE THAT I HAVE REAC THIS£�PPLICATION AND ST4TE �a � .� ,�., � � e . , THATTNEABOVEISCORRECTA��A6REETOCOMPLI'WITHALLCOUNTYORDINANCES " ' ' " " '- AND STATE LAWS FEGULAT:NG PLUMBING. PERMIT VALIDATION ; f I HEP.EBY CER7IFY THA'I AM PROPERLY RE615TE3FC Ah'D/OR LICENSED AS � g "'�;;�'` - ' � REQUIRED BY l05 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE � / ,�„ , LEGAL OWNER OF,AND IN7END TO RESIpE IN THF A�OVE DESCftIBFD HESI�ENTIAL �'��"� �` ^ w':� 1 =- . ' ' PROPERTY. rJ/ � ��:�,''�. ...� �� .. � � , SIGNATURE � c /"Y ��, /e X„ „�. J OF PERIVI ITTEc 1•••� •� Tj�.~�� .�-•••� - pISTRICT NO. - PR CE ED BY �` ��.�,.�.�'z..� INDUSTRIAL WASTE APPROVAL