HomeMy Public PortalAbout10335-10335 1/2 OLIVE ST_Plumbing__ ;; COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
St of County EngineerPLUMBING
DIVISIONION OFOF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DIS RI NO. GROUP I ZONK b FER
FO LICANT TO FILL. IN 7
PLUMBER 6 ED BY READY FOR DATE IBS
ADRESSZaEFIRST INSPECTION ry �
D _r
BUILDING
CITY TEL.Na. ADDRESS /
COUNLOCALITYLCENTYE NO.- EXPIRES
s
NEAREST
PERMIT FEES CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER f/ icy Y t
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS >
ATH TUB Q 0.50V 1
CITYyo- r No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE vr7AT I HAVE READ THIS
ATORY (WASH BASIN) 0.50 ga APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
ITCHEN SINK @ 0.50 f7 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIA4 PROVE TY DESCRIBED ABOVE.
'GAS'SYSTEIA__-2—_OUTLET9 @ 13.50SIGNATURE OF
WATER HEATER @ 0.50 o PERMITTEE* �•[?i7.
SLOP SINK @ 13.50 INSPECTION RECORD
FLOOR SINK @ 0.50 �,
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 / �v���,�7�' > �y �����• "" �/
DRINKING FOUNTAIN @ 0.50
L
URINAL 0.50 _ Q
HOUSE SEWER (gl 0.50 A Z
MISCELLANEOUS Allk _ A%_ m 6n ` /�t p
1
APPROVALS
D j�TE INBPECTOR'S NAME
ROUGH PLUMBING /✓ �+'�" :��y� :(,✓+o•G'�"�
GAS PIPING A _
GAS VENT
CESSPOOL Q I;DO CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 1.1301 1 SEWER '
1,00 GAS TEST r—a-
PERMIT7 7el_l/
7- 1 TOTAL FEE
-2_01DUTILITY CO.NOTIFIED
S
FINAL D�
76A667 DBS*17 10/58 ;' ��