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HomeMy Public PortalAbout9020 OLIVE ST_Plumbing__ 76AG67ACCE617A) -'6/75 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF-COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS a_ Ca HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 6r� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER ll-A- �6M r-w06JtN!&Lr AILWATER CLOSET � . BATH TUB ADDRESS ,5 f ��SA T lp� SHOWER CITY LLID,) f'Fv6ELGS TEL. NO. 2Z6—tlfT_(( LAVATORY CONTRACTOR 'al CL.LAjNpLd;CAC0+ SINK ADDRESS f- ID- ae)C -71,% ( DISHWASHER CITY L_aqlfo bp,40C4 C4TEL. NO. CLOTHES WASHER +� y �-7 SWIMMING POOL RECEPTOR LICENSE NO. ,` �Q, CLASS G"Z DISTRICT NO. GROUP ZONE P CE D BY LAWN SPRINKLER SYSTEM 80 Si l WATER HEATER IND USTR AL WASTE APPROVAL GAS SYSTEM OUTLETS It ,OUTLETS OVEp INSPECTION RECORD 5 PERS STTEMR o� s �r �rj�y� Q u OC ' ge'�G.w47 Le IS 86;, ZJIri s ri y z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE �C"' APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicantUNDER SLAB WORK Name LA GoUN { F1,000 •eatLIW(r ROUGH PLUMBING Address ©(.�V� ItiXM90-0 GAS PIPING City 1-1� Tel. No. GAS VENT HOT WATER HEATER 1HEREBY.ACKNOWLEOGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED. LICENSED AS RECJUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THEA D CRIBED RESIDENTIAL PROPERTY. FINAL ✓� / b SIGNATU RE OF PER . EE' PERMIT VALIDATION CK. M.O. cnsH PLAN HE ALIDATION CK. ' M.O. CASH