HomeMy Public PortalAbout10636 OLIVE ST_Plumbing_6/6/1955_WATER FIXTURES �76A887
DB5.17 14.84 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUMI)ING AND SAFETY
Deportment of County Engineer
County Of LOB Angeles B U 1 LD I N6
WM.J.FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
_LOCALITY
OR APPLICANT TO FILL IN NEAREST IV
CROSS ST.
OWNER I DISTRICT. GROUP. ZONE- READY FOR INSPECTION
' MAIL L ..� aJ
ADDRESS
INDUSTRIAL_
CITY TELft WASTE APPROVAL
PLUMBER C�encanno rf INSPECTION RECORD
9502 E. �
ADDRESS
, Cahis OXIOCA /..vim .•
A v
CITY TEL.NO. �/��t � i !1 /I*• 1
LICENSE NO. B Z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN) I(D
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
's
TOTAL NO. ® 0.80 APPROVALS
`O DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS ® 1.00 0
UNDER SLAB WORK
WATER HEATER @ 1.00
ROUGH PLUMBING t
I PERMIT 5 I 1 00 GAS PIPING
TOTAL FEE 00 GAS VENT
r
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY s
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
L HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AM T E LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN PROP Y A
SIGNATURE
OF PERMITTE FINAL /�/✓
IBM "m
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION
3 s.s 1R JUIIt 6 3_ 7.00 !�
BY
DEPUTY