HomeMy Public PortalAbout10111 OLIVE ST_Plumbing__ gA-17
11313-17� n fo-ss APPLICATION FORPLUMBING PERMIT 1
DIVISION OF BUILDngG AND SAFETY
Department of County Engineer
County of Los Angeles . BUILDING
JOHN A:"LAMBIE, COUNTY ENGINEER ADDRESS O�� pI.GUjJr✓
CASSATT D.GRIFFIN.'SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN . NEAREST
' CROSS-ST.
OWNER .BMJ :DISTRICT NO. GROUP ZONE .READY FOR INSPECTION
MAIL ?-
ADDRESS z bap
CITY ' TEL.NO.' -3 71 INDUSTRIAL
WASTE APPROVAL
PLUMBER. �T � � INSPECTION RECORD
ADDRESS I CD ��qq
CITY TrE�L.NO.eb- L/47
LICENSE NO. -
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HUMMER TYPE OF FIXTURE OR ITEM FEE '
oTi WATER CLOSET (TOILET) @ $1.00 S
HATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
F DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
S SYSTEM @ '$1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK y� 00,
PERMIT $ T 00 ROUGH PLUMBING
TOTAL FEE I ,07,E GAS PIPING`
GAS'V ENT
1 HEREBY .ACKNOWLEDGE THAT I 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, y rr
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
L)CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p/
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED ' G
DESCRIBED RESIDENTIAL PROPERTY..
SIGNATURE
OF PERMITTEE1444;6-
FINAL
IOHN A.L.AMBIE.COUNTY ENGINEER, VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.®. CASH
0..8 2.1�-oact, 1 3 12.00 �'
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