HomeMy Public PortalAbout10630 OLIVE ST_Plumbing_5/6/1955_OUTLETS AND FIXTURES DOS-17 12•54
APPLICATION FOR PLUMBING PERMIT
D85.17
DIVISION OF BUILDING AND SAFETY 1
Department of County Euglneer
County of Los Angeles BUILDING
WM.J.FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING // 1
LOCALITY s Al13lPV Cl YY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GRO Up �O_ READY FOR INSPECTION
MAIL woo
ADDRESS .' I . ., I '6 d al
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
if
PLUMBER /�"1 INSPECTION RECORD
ADDRESS r 7 !�J �
CITY [Ci0 z 6 j ,4T•EL.NO.
LICENSE NO. C°- 3- -2 2— I G,� �'i /�/, �✓
NUMBER; TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB 10
SHOWER
LAVATORY (WASH BASIN) Lr' if'd- 412 12P/1v f kcp! ��1
1 KITCHEN SINK Zf
DISHWASHER
LAUNDRY TUB OR TRAY �U
CLOTHES WASHER
TOTAL NO. ® o.eo _r APPROVALS
/ 8 DATE INSPECTOR'S SIGNATURE
6A5 SYSTEM UTLETS 01.00 T UNDER SLAB WORK ^
WATER HEATER 1.00 .
ROUGH PLUMBING /� s✓lc%
PERMIT S 7 00 -
��11_ GAS PIPING
TOTAL FEE OV GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ��:
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES '�� In
PLUMBING.
[ HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �S.L✓
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT
(jjjAALL/PROPER *
1• -
SIGNATURE %�i/1 t � �� ✓G' *TKJ ` `
OF PERMITTEE hhti�`i((( I, FINAL t
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION
JCo346Ou') my 6 3 ?.QO
BY
n DEPUTY