HomeMy Public PortalAbout10105 OLIVE ST_Plumbing__ 76A667-CE017 8-59
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT .OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BE�SSG d l OS oL r uE sT,
IOHN A.LAMBM, County Engineer _{
CASSATT D. GRIFFIN.Supt of Building LOCALITY riff
FOR APPLICANT TO FILL. IN NEARESS s, L .wlN U ~'
NUMBER FIXTURE OR ITEM "
OWNER. MR, P RAV
2 WATER CLOSET MAIL
/ ADDRESS 91 0 S TONAS
RATH TUB
I SHOWER CITY . CM LE Gr ty TEL No. T' 6—I f .
L LAVATORY CONTRACTOR
/ ADDRESS
13329 E. Ecla. Sti-Get
DISHWASHER CITY �. TEL NO. `
CONTRACTOR e
s LAUNDRY TUB REGISTRATION NO. COUNTY.
J CLOTHES WASHER OINDU
GR OyP ZONE/ PR ED 13Y
WATER HEATER /
GAS SYSTEM
>IQ ECTION RECORD
- ... ... . pie}..-�
i
51.00 PER ITEM
1 OR FD[TUIM $ I 10, APPROVALS SATg INSPEOlvi SIGNATURE
PERMIT $ 2 00 UNDER ORK u
+ TOTAL FEE d ROUGH PLUMBING
GAS PIPING 4L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT yA
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY n / b
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER r� /H•�! ��
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING.FIXTURES 6
LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF - GAS TEST
CALIFORNIA OR THAI AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED. RESIDEMT .m PROP RTY. UTILITY CO.NOTIFIED �f
SIGNATURE - n'0' ,,4�y�,
OF PERMUTEA=21
FINAL 4� ! L'�✓i P
®e VAMATION ROBERT A.WOOD,
J M,0, QAgR SUPERVISING MECHANICAL•FAG'IR
U&5 63 3 18 5 D 12.0 0
Av
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76A667 (¢E-617) - 1/75 1TIC
APP 1C �OR L A O PLU 1NG PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE'CHECKS PAYABLE TO: ADIDRESS Q '
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY -
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. /al
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 2.00
! AIL
M
Pie an X�
BATH TUB 2.00 ADDRESS 10 �
SHOWER 2.00 CI -.plt 0.,4,1 TEL. NO. 4 _y
I CONTRACTO
. LAVATORY 2.00 -
SINK 2.00 ADDRESS
DISHWASHER 2.00 CI f TEL. NO. -76 76
j CLOTHES WASHER 2.00 STATE LIC
I LICENSE N.O. CLASS
SWIMMING POOL RECEPTOR 2,00 °
DISTRICT NO.GROUP ZONE P OCES D BY
� LAWN SPRINKLER SYSTEM 2.00 � ®
1 WATER HEATER 2.00 INDUSTRIAL VV��crCJJ }
WASTE APPROVAL c.
! GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30
O
V
W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 0
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I. HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER-
AN 0 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST `
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS RE1IUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AN-5 FNYEHb TO
RESIDE IN THE ABOVE DESCRIBED R SIDE!TIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE CCC
PERMIT VALIDATION CK. M,O: CASH
PLAN-CHECK VALIDATION CK. M.O. CASH
7 1 4 :JAN 15 5 D 7.5 0 A','O