HomeMy Public PortalAbout10333 OLIVE ST_Plumbing__ 78A867-CE#817 5/69 L•12
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APPLICATION FOR PLUME1. G PERMIT' /
"COUNTY OF'LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ` o� p� �-^
JOHN A. LAMBIE. COUNTY ENGINEER 'ADDRESS '/ G? 3 3 3 G A. V'& Y
WILLIAM A.JENSEN,SUPT OF BUILDING
' = LOCALITY FOR APPLICANT TO FILL IN 'NEARESTr
CROSS ST. Zy CL
NUMBER FIXTURE OR ITEM EACH FEE L
R
OWNE
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 2.,7 °'ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 'CONTRACTOR
1 SINS 1.25 j AaDEss 13 3 a c.
DISHWASHER 1.25 CITY e, " TEL. NO. ?1t-1d j±A
CTORM STATE
LAUNDRY TUB 1.25 ) REGISTRATION SAT ON NO. 9'�G 2 COUNTY
/ CLOTHES WASHER 1.25 K gma
DISTRICT No ~G ZONE P OC S BY
a r
WATER HEATER 1:50 t
GAS SYSTEM _OUTLETS_ 1.50 INDUSTRIAL a
WASTEAPPROVAL
OUTLETS OVER PER SYSTEM .90 INSPECTION RECORD 0
O
O.
In
APPROVALS D/ I'E,f INSPECTOR'S SIGNATURe
PERMIT $ 2 00 UNDER SLAB WORK .e. �v .
ROUGH PLUMBING
TOTAL FEE • GAS PIPING 1 -t 4"�4t'';,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS FIEGULATING
PLUMBING. HOT WATER HEATER _
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE '
ZQ
OF PERMITTEE FINAL Z
LIDATION ROBERT A.WOOD '
cK.-/_� M.O: CASH SUPERVISING MECHANICAL ENG'R
Ll��;o 3 1 1 8Q DEC 4 5 D 1 6,2 5!-?