HomeMy Public PortalAbout10611 OLIVE ST_Plumbing__ 78A667-CE617�ti11-57 .'' 'f'
APPLICATION.- OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER' ~,
BUILDING AND SAFETY ED�IVVIISION, BIIILDING. / /l /!
C JOHN DGRIFFIN,MIE. Su tyt of giuiimr ADDRESS PUJ// 1 �IC /
• LOCALITY � �FOR APPLICANT TO FILL IN NEAREST T.
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER.11011iG,va V- I—,4&VA
BATS TUB ADDRESS
SHOWER Crff • C+G� TEL NO..
LAVATORY CO rC/Gs / /41MG �G / /'b
Sig ADDRESS.7 W&402-',.?,4
DISHWASRER CITY AI-7- TEL.NO. S
LAUNDRY TUB CONTRACTOR'S •� �✓ STATE
REGISTRATION NO. / J D COIINTY
CLOTIM WASHER •- D1S7�RI^CT NO. 7ROUZONE READY FOR INSPECTION
HE
WATER ATER J � A
GASSYSTBo�! nQDIISTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$1.00 PER ITS1K _ k_� DATE MPECTOWSSIGNATURE
OR FixTQRE $ I UNDER SLAB WORK 5
PERMIT $ OO ROUGH PLUMBING
TOTAL FEE �.(� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY HOT WATER.HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING •
PLUMBING. . PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANG LES C TY AND STATE OF
CALIFORNIA OR THA THE AL ER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDE PERTY
SIGNATURE
OF PERMITTE FINAL I
ROBERT A.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CN. N.O. CASH
i
7P 3 4 5 0415"1 MAR 13 5 A 4.0 O M