HomeMy Public PortalAbout9502 OLEMA ST_Plumbing__ 78A88��B 17 10-87 � , � � ® � ����® �� y Q� •
�-APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING D
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL INPR OR CE
AREST
-
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 U � OWNER -
IIL
BATH TUB 1.50 ADDRESS
SHOWER 1..50 If ® TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL.NO.
CLOTHES WASHER 1.50 STATE �14�71+/ CLASS
LIC
LICENSE NO 11
SWIMMING POOL RECEPTOR 1.50 . DISTRICT NO. GROUP ZONE. PRO. SEED BY
LAWN SPRINKLER SYSTEM 2.00 t� 00 �� CD
C>
WATER HEATER 1.50 ® INDUSTRIAL =
WASTE APPROVAL CD
GAS SYSTEM OUTLETS '1.50 INSPECTION RECORD V
OUTLETS OVER LU
5 PER SYSTEM .30
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 21 00
TOTAL FEE ac APPROVALS PATE IN CTOR'S aIpNgURE
Plan check applicant UNDER SLAB WORK 6
Name ROUGH PLUMBING
Y ' 0a 44
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER NEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST rJ`
PLUMBING:
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR' UTILITY CO.NOTIFIED
LICENSED AS REQUIRED Y LOS AN ELES COUNTY A TATE OF - -
CALIFORNIA OR THAT 1 A THE L L OWNER OF, D 1 END TO _ _ p
RESIDE IN,THE ABOVE RIBED IDENTIA O RT FINAL - t -
SIGNATURE . JACK R. ALLEN, SUPE'RVISIN HANIC.AL EN-G'R.
OF PERMITTEE
PERMIT VALIDATION CK.. M.O. -CASH
PLAN CHECrIDATION CK. M.O. CASH _ _ i
LAC04311� ,WR17'• 5D 8-.00- 7