HomeMy Public PortalAbout10634 OLIVE ST_Plumbing_4/10/1958_GAS SYSTEM 76i(567-CV-17:9-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION A DRESS ®�
JOHN A. LAMBIE. COUNTY ENGINEER .y
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY /
FOR APPLICANT TO FILL IN NEAREST
4 CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSETol
BATH TUB ADDRESSal
G !'
SHOWER CITY TEL.•NO.
LAVATORY CONTRACTOR
SINK " ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT NO. T70UP' ZONE READY FOR INSPECTION
WATER HEATER '�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
N
q
APPROVALS
@ $1.00 PER ITEM �( DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ ,y 6 UNDER SLAB WORK
PERMIT s 1100
ROUGH PLUMBING `
GAS PIPING
TOTAL FEE O d GAS VENT
I 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
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR [FINAL
AS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVETILITY CO: NOTIFIED
DESCRIBED RESIDE AL PROPERTY.
SIGNATURE A�OFPERMITTEE
®, ROBERT A.WOOD,
LIDATI. SUPERVISING MECHANICAL ENG'R
CK. R.0. CASH
L&2 7 7 3N APR 10 3 A 2.0 0 M
A7-/C, /,