HomeMy Public PortalAbout10547 OLIVE ST_Plumbing__ 76A667-CE#817 2-62 TEMPLE. CRTY • .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
BUILDING AND SAFETY DIVISION BUILDING IOS-47 Nt tl G
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25MAIL I.
J BATH TUB 1.25ADDRESS
S
SHOWER 1.251 CITY TEL. NO.
LAVATORY 1.25 Y CONTRACTORBa�p-'Z
SINS 1.25 ! ADDRESS O 3.
DISHWASHER 1.25 CITY TEL. NO. O�
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. rp 4f. sro COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCES BY
J WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL ROVAL
OUTLETS OVER 5 PER SYSTEM .90
INSPECTION��R fECORD ) ?-
,�b l b' Z j 4 0 tom;_ " ''� • a;' r
A 1 4 /�
12 S APPROVALS ATE INSPECTOR' SLG RE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING ,) �^
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
E AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ' �f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDtOR PLUMBING FIXTURES
LI'E AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO •� d
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE -
OF PERMITTEE FINAL , c..-
LIDATION ROBERT A.WOOD f
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R ,
LAC�06.97Q SEP26 5- t) 11.25- .Q