HomeMy Public PortalAbout10522 OLIVE ST_Plumbing__ 7UW-CE817 6-60
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING _
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS U
WILLIAM A.JENSEN. SUPT of BUILDING
LOCALITY �
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSETZL
I RATE TUB ADDRESS
CITY TEL NO.
SHOWER
I LAVATORY CONTRACTOR d
A.
SINS ADDRESS _
DISHWASHER CITY�/ ayf TEL NO. ads
CONTRACTOR'S // STATE
LAUNDRY TUB REGISTRATION NO. d(p4 S'10 COUNTY
r CLOTHES WASHER �,. DISTR NO.Q GROUP ZONE PROLE BY
J WATER HEATER T� v 7 0 `'
Ir GAS SYSTEM (� INDUSTRIAL
WASTE APPROVAL
INSPECTIIOON RECORD
ITEEBQI v` '✓ V J �*C .s`i ' , _—
i PPROV LS DpgTE INSPECTOR'S SIGNAT,L]RE.
PERMIT $ S 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION J /f'
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT s
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER lah
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 THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM I7TE
FINAL `'T
(VALIDATION ROBERT A.WO D, v
in.p San SUPERVISING MECHANICAL ENWit
L� 3 3 9 8 JuN 1 5 D 1 1 .2 5
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