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HomeMy Public PortalAbout10625 OLIVE ST_Plumbing__ 78A587-CE#817 2-82 TEM M F E CHTV - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �j © �+ JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS pL c� WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST z CROSS ST. O I -e NUMBER FIXTURE OR ITEM EACH FEE 1, OWNER WATER CLOSET $1.25 �r BATH TUB 1.25 ADDRESS MAIL '/O _ 13 S / SHOWER 125 CITY TEL.NO. LAVATORY• 1.25 CONTRACTOR SINX 1.25 ADDRESS DISHWASHER t 1.25 CITY T LAUNDRY TUB 1.25 CONTRACTOR'S STATE ElREGISTRATION NO. COUNTY 01 CLOTHES WASHER 1.25 DIS ICT NO. GROUP NE PR r Y WATER HEATER 1.50 ff —^J�^ �— GAS SYSTEMOUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTL OVER 5 PER SYSTEM 30 INSPECTION RECORD y �^ e -r• Le v ad a Vf APPROVALS DAT INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ` F ROUGH PLUMBING TOTAL FEE O GAS PIPING j 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS'VENT AND STATE. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED Vol SIGNATURE OF PERMITTE FINAL /� 3 VALIDATIROBERT A.WOOD CK. M.O. GASH SUPERVISING MECHANICAL ENG'R 1 . L402 G 8 3t%-G NOV19 5D 350M Ic .76A667-CE#817 5/69 APPLICATION FOR PLUMBING PERM =' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING u JOHN A.LAM-BIE. COUNTY ENGINEER ADDRESS /Y WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST- CROSS ST. _ NUMBER FIXTURE OR ITEM EACH FEES AA OWNER WATER CLOSET $1.25 V •MAIL /J BATH TUB 1.23 ADDRESS r . SHOWER 1.25 ' CITY TEL.NO. LAVATORY 1,25 a+ a .CONTRACTOR SINK 1.25J� .ADDRESS DISHWASHER 1.25 CITY r TEL.NO. LAUNDRY TUB 1.25 `CONTRACTOR'S STATE ❑ REGISTRATION NO. ® � COUNTY ❑ CLOTHES WASHER 1.25 ' $• D`/ ICT N GR Z E P ES BY WATER HEATER 1:50 GAS SYSTEM, OUTLETS- 1'� D INDUSTRIAL ;• a •WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .80 INSPECTION RECORD U v APPRO. LS DArE, INSPEC5 SfGNATPIj�E J PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING �� ! • TOTAL FEE t� 1 HEREBY ACkNOWLEDGE 'THAT 1 HAVE READ TGAS PIPING R HIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND. STATE -LAWS. I{EGULATING PLUMBING. HOT WATER HEATER 1 HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES f -j LICE CALINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF E OF FORNIA OR THAT 1 AM THE LEGAL OWNER�OF,AND' INTEND TO GAS TEST RESIDE IN,THE ABOVE.DESCRIBED RE81 NTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE V I OF PERMITTEE VVVV FINAL VALIDATION ROBERT A.WOOD cK M.0. CASH: SUPERVISING MECHANICAL ENG'R 03 97- SEP 19 5 D 14.75, V