HomeMy Public PortalAbout9140 OLIVE ST_Plumbing__ �RAe� APPLICATION FOR PLUMBING PERMIT
DBB.IT-'DIVISION OF BUILDngG AND SAFETY
Deportment of County Engineer
County Of Los AngelesBUILDING `
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS / ogr:Z 7 A110
CASSATT D.GRIFFIN.SUPT OF L
BUILDING ,o J
OCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. !r�!
OWNER MRSL. �.��i — DISTRICT O. GROUP ZONE READY FOR INSPECTION
MAIL
ADD SS
f' INDUSTRIAL
CITY EL.IVO. WASTE APPROVAL
PLUMBER .--r— - ., INSPECTION RECORD
AD b§S LT1sch O O\ T AY %NCS %t%.QA
i tit ^Qg..
C EL.N
LICENSE NO,
NUMBER TYPE 6F FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ w
HATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 l
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
t
r
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 1 �sto rr 0 A
GAS PIPING
TOTAL FEE 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. `
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 2�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF M
CALIFORNIA OR_XHAT I AM THEA EGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED R DENT PROPMY. �
SIGNATURE
OF PERM I FINAL f 4 I
r
IOHN A.LAMB I OUNTY ENGIN VALEDATIOI�`'ROBERT A.WOOD.CHIEF PLBG. INS CTOR.
CK. B.0. ASH
3191ZR DEC10 3 9.00 w