HomeMy Public PortalAbout9093 OLIVE ST_Plumbing__ IBA887=CE#817 5.61 " J
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEM
BjMEIR An SAFETY EMN BUILDING 9JQ 03
ADDRESS
D
WILLIAM A. JENSEN, SUPT'OF BUILDING
LOCALITY
FOR APPLICANT TO FIId. IN NEARESTCROSS . L
NUMBER FIXTURE OR ITEM OWNER e
l
WATER CLOW MAIL
BATH TOB ADDRESS .P
CITY ' TEL NO.
SHOWER
LAVATORY CONTRACTOR /rJ
ADDRESS
SII18
DB3HWASIIBR TEL.NO ?
LAUNDRY TOB 8&�ffiYEATI �p COUNTRACTOFIV NTY
CLOTHES*Am= DISTRICT NO. GROUP ZONE P 8ED BtY
WATER HEATER 7' & O
GAS SYSTEM INDUSTRIAL _ L7
WASTE APPROVAL
INSPECITON RECORDad
O
Lu
. o.
N
Z
1
S loApommm
$
APPROVALS DATE fsINSPECTOR-SSICNATUR6,.
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE /
ROUGH PLUMBING G/2�✓l< r',- t" �.'' ,.��
GAS PIPING_ I
I HEREBY ACKNOWLEDGE THAT*I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT f i .b
WITH ALL L'OUNTY ORDINANCES AND STATE LAWS REGULATING `HOTWATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY 108,ANGELES COUNTY AND.STATE OF GAS TEST I
CALIFORNIA OR THAT�IAM THE LE OWNER OR TNB ABOVE 'DESCRIBED RE TIAO UTILITY CO.NOTIFIED �-
SIGNATURE r
OF PERMITT
FINAL �gW
Milo" VALIDATION ROBERT A.WOOD
4K. M.0. CLASH SUPERVISING MECHANICAL ENG'R
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7VAY67CCE817 PVY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTiT OF COUNTY ENGII�EER
B AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 10 9 25
WILLIAM A.JENSEN,SUPT OF BUILDINe
LOCALITY P
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNn
WATER CLOSET
1 RATH TOR �--4 MAIL
RESS ®�
SHOWER
CITY �^ TEL NO.
-
g VL ff
LAVATORY �- CONTRACTOR �� t -�
SIIYS / ADDRESS A - &.—
DISHWASHER / CITY TEL No-/A/-20s--?
CON
::Tog ) � 5>— COUNTY
NrATE
LAUNDRY TOR � REGISTRATION O. /
CLOTHES WASHER DISTRICT NO. GR. OUP ZONE SS,-,EDBY
WATER HEATER SID ./ L-
GAS SYSTEM I o INDUSTRIAL 1
WASTE APPROVAL
DISPECTION RECORD ,
a
rA
@ $1.00 PER ITEM
OR FErMRE $ APPROVALS DATE ; INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE
ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ! l�
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. I
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING-FIXTURES IR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LE_ L OWNER OF THE A80VE
DESCRIBED RESIDE IAL PRO Y. +• ""l- '
UTILITY CO.NOTI IED � . �
SIGNATURE
OF PERMITTER ��5`� �t FINAL ' 610/
rz .of s'--r-..
BF 'cf VALIDATION ROBERT A!WO`OD.
X.p CAeB SUPERVISING MECHANICAL ENG'R;
LG 0278X14 5D 11.25-- 1