HomeMy Public PortalAbout10631 OLIVE ST_Plumbing_12/15/1961_FIXTURES 76A607-0E817 10-60
APPLICATION FOR PLUMBING PER T �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DII�ISION BUILDING / •
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING p
LOCALITY . .
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET w[AIL
BATS TOB ADDRESS
CITY TEL NO.
SHOWER
LAVATORY CO111TRACTO ! -'
SINS ADDRESS O 7 WO
DISHWASHER CA.fj TEL'N y Y
LAUNDRY TUB REGISTRATIONS NO.�j ,d7 lij Tum
CLOTHES WASHER DISTRICT NO. GROU ZONE P CES BY
WATER HEATER `l
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INMOTION RECORD D-
// O
OR FIxTUR I q ,6
APPROVALS DATE
A// INSPEC7.OR'BSjgNATURE
PERMIT $ 2 00 UNDER SLAB-WORK eU/ifW >P�Avvii,,�L• it
TOTAL FEE
ROUGH PLUMBING
�'' � `� - • '=`'� .
GAS PIPING ���1•�`''• t :a"�� •�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION `
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT 1 _ A lY/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ff
PLUMBING. HOT WATER HEATER )•lQl� _ %�,/. ;'U
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �� ��•��_ •, _Ad
LICENSED AS REQUIRED BY LOS ANGELBS'COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE BGAL OWNER :OF SHS ABOVE GAS TEST i ,�a^v" ,y •�:�'Pks�
DESCRIBED RESIDENTIARROPERI
e:l�% UTILITY CO.NOTIFIED
SIGNATURE V / ,j v A" I �•�f.
OF PERMITTE FINAL
VALIDATIO ROBERT A.WOOD
CK. _ M.o. CASH UPERVISING MECHANICAL ENG'R
1&6 17 5 Gal •DEC 5 5 D 110 0