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30338300 - Permit (2)
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30338300 - Permit (2)
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Last modified
11/15/2022 10:48:45 AM
Creation date
11/15/2022 10:48:43 AM
Metadata
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Template:
Permit
Permit Number
30338300
Full Address
1155 W Central Ave Unit# 201
Permit ID
232169
Master ID Number
2017-137434
Project Name
Miscellaneous Counter1 Permit
Street Number
001155
Street Direction
W
Street Name
Central
Street Suffix
Ave
Unit Number
201
Building Use Code
Medical Office
Job Types
Alteration
Permit Type
Plumbing
Applied Date
7/17/2017
Issued Date
7/17/2017
Finalized Date
10/26/2017
Flood Zone
X-0602320259J
Description of Work
4 backflows and 4 dental units. Owner authorization on file.
Nature of Work
Dental units
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ACKNOWLEDGMENT <br />State of California <br />county of Los Angeles , <br />On )une 6,2017 before me, Sarah Garcia, Notary public <br />(insert name and title of the offlcer) <br />personally appeared David Kracoff <br />who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) isiaresubscribed to the within instrumen t and acknowledged to me that he/she/th ey executed the same inhis/her/their authorized capacity (ies), and that by his/her/their signatu re(s) on the instrument theperson(s), or the entity upon be half of which the person(s) acted, executed the instrument <br />I certify under PENALTY oF PERJURY under the laws of the State of California that the foregoingparagraph is true and correct. <br />s ARAH GARCIA <br />WITNESS my hand and official seal.Commission * 2OlO12t <br />llota.y Public - Ctlitorria <br />tos Argalrs <br />Comn 2017 <br />Signature (Seal) <br />notary public or other officer completing this <br />certificate verifies only the identity of the individual <br />who signed the document to which this certificate is <br />attac <br />validi <br />he d, and not the truthfulness, accuracy, or <br />of that document. <br />l
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