HomeMy Public PortalAbout10553 OLIVE ST_Plumbing__ 78A887+CE#817 12-84 �X
APPLICATION FOR PLUMBI G PER
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS,SUPIT OF BUILDING ,• LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR �.
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE 11
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP I ZONE P OCE FfD Y
WATER HEATER 1.50
GAS SYSTEM—,/—OUTLETS— 1.50 INDUSTRIAL.
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD eO
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APPROVALS DAZE I PE OR'S SIGNATURE
PERMIT $ 2 00
UNDER SLAB WORK �,�
ROUGH PLUMBING r
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY M WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEPLUMBING.1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIAOR THAT I AM THE LEGAL OWNER OF�AND INTEND TORESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PR ERTY. UTILITY CO.NO
SIGNATURE
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OF PERMITTEE FINAL
IV
VALIDATIOP'"1 ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
L t,o0 1 8 MAR 3 5 D 4.75r IT