HomeMy Public PortalAbout9541 OLEMA ST_Plumbing__ 76AG67.CE#817.9/88 a-F
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'
BUILDING AND SAFETY DIVISION RIIILDING
JOHN A. LA E. COUNTY ENGINEER ADDRESS VIs
WILLIAM A.JENSEN,SUPT OF BUILDING
LOCALITY / IC
FOR APPLICANT TO FILL IN NE OSS ST .
NUMBER FIXTURE OR ITEM EACH FEE
7_19t5 L9 LeJ Ao,'.Ar
OWNER
WATER CLOSET $1.25 MAIL
/ BATH TUB 1.25 ADDRESS
SHOWER 1.25 CI17 TEL. NO.
LAVATORY 1.25 CONTRACTORjr
SINS 1.25 ADDRESS 0
DISHWASHER 1.25 CITY _VZeTEL. NOJ,!S" .,70&
CONTRACTOR'S / STATE '❑
LAUNDRY TUB 1.25
REGISTRATION NO. Zo COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT N . GRQLIB� ZONE O ESSED BY
WATER HEATER 1.50
1.
GAS SYSTEM OUTLETS 0.
50 INDUSTRIAL
WASTE APPROVAL O
OUTLETS.OVER 5 PER SYSTEM .30 U
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A tPo4¢1 S DA INSPECTOR'S SIGN T_U E
PERMIT $ 2 00 UNDER AIB WORK
ROUGH PLUMBING y111;bs7 V ,fJ ; �
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP ICATION GAS VENT 4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND PLUMBING FIXTURES 'N
.l
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO 'JPl'L I
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE a
OF PERMIT
FINAL
LIDATION ROBERT AJ'WOOD
CK. M.0.' CASH SUPERVISING MECHANICAL ENG'R
LACp 4 1 6 4 E SEP 2 4 5 D 162 5- Q