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HomeMy Public PortalAbout9084 OLIVE ST_Plumbing__ 7SA667-CE817 8_59 ` APPLICATION FO PLIJMAC PERMLT, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A.LAMBIL County Engineer ADDRESS CASSATT D. GRIFFIN,Supt of uildiag LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. HUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. � _ LAVATORY CONTRACTOR SmADDRESS DISHWASHER QTY TEL. NO. LAUNDRY TUB CONTRACTOR'S STATE .REGISTRATION NO. CO CLOTHES WASHER DISTRICT NO. GROUP Z NE 7P7!1 WATER HEATER dr g GAS SYSTEM INDUSTRIAL WASTE APPROVAL o .RA D�IMCTION CORD 4. Ott 4 - s �Z 6� © A00 cCv4-j �V* . g W OR00 PFIXTQrIZM AE I { vt0e8 I�f� ALo /� `/3t� APPR ALS PATEj INSP C OR'S SIGNATURE IRS PERMIT $ 2 00 UNDER SLAB WORK r, TOTAL FEE ROUGH PLUMBING ia:l GAS PIPING GA I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT AND STAYS THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY ;• WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER O I HEREBY CERTIFY THAT I AM PROPERLY RE6ISTERED AND/OR PLUMBING FIXTURES IQ, 'I LICENSED AS REQUIRED BY LOS AN LES COUNTY AND STATE OF GAS TEST 0 CALIFORNIA OR THAT I AM THE GAL OWNER OF THE ABOVE DESCRIBED RESIDENTI PROPERTY. UTILITY CO.NOTIFIED SIGNATURE r OF PERMITTE FINAL A I ®Q �PIVATION ROBERT A.WOOD, CASE SUPERVISING MECHANICAL:ENG'R 76AG67 (CE-817)-4/72 2 `' ' �• APPLICATION R PLUM G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FBUILDINGj��99 �aDDRESS /O� I V� ZHARVEY T. BRANDY, COUNTY ENGINEER OCALITY J�I�/�FOR APPLICANT TO FILL IN (PRINT OR TYP,EI EAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST.�j /+�.� �� • OWNER//R- WATER WNER K• C7uJ e GV/RJ f��J TG/� WATER CLOSET 1.75 MAIL BATH TUB T.75 ADDRESS SHOWER 1,75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR,,g7,pur#Z�)� �Lil�$1j SINK 1.75 ADDRESS/037� DISHWASHER 1.75 CITY k"p Lv� TEL. N�n—OIY` WASHER ASHER 1.75 STATE LICENSE IVO. ��� �• CLIC LASS �+ ' SWIMMING POOL RECEPTOR •1.75 DISTRICT NO. GROUP P CESSED BY LAWN SPRINKL ER:SYSTEM 1.75 WATER HEATER 1.75 INDUST IAL. / WASTE,APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 W CL h Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 3 Plan check applicant APPROVALS DATE I PECTOR'S 31' NATURE UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES r•�4P �� 1J� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. ,. GAS TEST ornt I HEREBY' CERTIFY THAT I AM PR RLY REGISTERED AND/OR UTILITY CO. NOTIFIED LI LENSED AS REQUIRED BY LOS ELE COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GA 0 ER OF, AND IN ND TO RESIDE IN THE ABOVE DESCRIBED RES AL PROPERTY. FINAL � a� Am SIGNATU RE OF PERMITT PERMIT VALIDATION CK M.O. CASH PLAN CHECK VALIDATION C.K. M.O. CASH }�': 3 7 15713 QCT c 5 0 1 3.50 26A667-cE817 Iz/ss ` 'EMPLE CETY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINMDIJ3 FETY MSION BUILDING JOHN A��LAMSIE.WNTY NGIN.EER ADDRESS _0 O I y - sr WILLIAM A.JENSEN,SUPT OF BUILDING T LOCALITY Jf4 J9 FOR APPLICANT TO FIM IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNERIS, D O WATER CLOSET / c BATH TUB DADDAD REBS O �/� IJ .6 7 . SHOWER CITY �° TEL.NO. r-.1,Z LAVATORY CONTRACTOR Sm ADDRESS DISHWASHER cr.ff TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER D I S�T �NO GROUP ZONE PROCES BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O V O F ' U W a zWz r7 OR FIXTU88 $ I ' ✓ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE I I�Z� ROUGH PLUMBING GAS PIPING 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMI FINAL OG �p ATION ROBERT A.WOOD. �1- 7 M,p, O49B SUPERVISING MECHANICAL ENG'R Ulr o 7 7 'S 7 OCT 1 n 5 D