HomeMy Public PortalAbout10522 1/2 OLIVE ST_Plumbing__ 7SM7-CE81710-60
AIM.PL.ICATI®NT FOR PLUMBING PERMIT
DEPAMIE TT OF COUNTNYGENGINEER ��'
B RDA BUILDING
LAMB E.SAFETY
DIVISION
ADDRESS
s
WILLIAM A. JENSEN, SUPT OF BUILDING . r.r
krmw;' 44 LOCALITY
FOR APPLICANT TO FILL IN T
CROSS-ST.
NUMBER FIXTURE OR ITEM f i
OWNER
WATER CLOSET v5 �
y BATH TUB . ADDRESS
CITY TEL.NO.
SHOWER '
LAVATORY CONTRACTOR .�
' SINS ADDRE� S
DISHWASHER Com'Wr JcI/AlA TEL.NO. JC—� ]C%T1
LAUNDRY TUB BEGI�S7'.RA�TIONSNO. f(4 �/CLOTHES WASHERSTR CT N GROUP 2oNE
WATER HEATEB
GAS SYSTEM �.' IND
US APPBoyAL !
a
` INSPECTION RECORD .r / ,r O
h9 firOIUIFD=RE -
9 -- APPROVALS DATE. INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK ZIA14 `7zZ-1 ;jX,f
e ROUGH PLUMBING
TOTAL FEE `� �'..
GAS PIPING. I i
1 HEREBY ACKNOWLEDGE THAT I HAVE BEAD THIS APPLICATION : ,
SAND STATE THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY : GAS VENT p -
WITH ALL COUNTY ORDINANCES, AND. STATE•LAWS REGULATING �+
PLUMBING. HOT WATER HEATER I.� e✓',�`
GI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE•OF
CALIFORNIA OR THAT i AM THE LEGAL OWNER•OF THE ABOVE GAS TEST la-
DESCRIBED RESIDENTI��ROPRRTX. _ UTILITY CO.NOTIFIED
i- SIGNATURE
4 OF PERMIT
TE
_ FINAL• e 1
ALMATION ROBERT A.WOOD.
GK
M.0. CASH SUPERVISING MECHANICAL ENG'R
33991%. JUN 1 5 .p 1 1.25