HomeMy Public PortalAbout10406 OLIVE ST_Plumbing__ 7GA667•CE#817 10.62:• r - ••
APPLICATION` FOR PLUMB/ G .PERMIT �I
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION. BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 7'
.WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
I
FOR APPLICANT TO FILL IN" NEAREST
CROSS ST.
NUMBERFIXTURE O!2 ITEM- EACH FEE o
.. ..OWNER
WATER.CLOSET $1.25 MAIL
r ,BATH TUB 1.25 .'ADDRESS
' SHOWER 1.25 CITY TEL.NO.
LAVATORY 1.25CONTRACTO
•SINS 1.25 ADDRESS 77,
DISHWASHER 1.25 ClTydcv TEL.N _77
CONTRACTO$'S Jp� STATE ❑
LAUNDRY TUB 1:25 REGISTRATION NO: /O COUNTY
CLOTHES WASHER 1.25 DISTRICT NOj ,G!tUP,j 7E PR C S B
.WATER HEATER 1.50
GAS SYSTEM ` • OUTLETS
1.50 INDUS IAL':•
WASTE APPROVAL
OUTLETS OVER-5 PER SYSTEM .30 IINSPECTION RECORD 4 A �
U&
IL
l APIZOV..�4', D,/4TE .INSPECTOR'S SI•GtIATURE
PERMIT $ 2 'OO UNDER L�kB WORk---:— ���` .�L.p
-ROUGH PLUMBING
TOTAL FEE 'f . Oo' GAS PIPING %`
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
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/OR PLUMBING FIXTURES !�
LICENSED AS REQUIRED BY .LOS ANGELES COUNTY AND STATE OF OAS TEST 3 �J i '; ./•I/
CALIFORNIA OR THAT I AM TME LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIB RESIDENTIAL PROPERTY. - UTILITY.CO.NOTIFIED. ._� �C ••
SIGNATURE +
OF PERMITTEE FINAL 7-or ZI`6� b
ALIDATION - ROBERT A.WOOD
M:O..f CASH SUPERVISING MECHANICAL ENG'R
trtLo.4 0 4 .4 w •ADR 3.0 5 0 1 5.Cil Q W