HomeMy Public PortalAbout9155 OLIVE ST_Plumbing__ 76A667-CANBI7 5/68
APPLICATION, FOR PLUMBING PERMIT
D�ERTOOYG �
PATMENF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDI s (�
JOHN A. LAMBIE, COUNTY ENGINEER J J"
WILLIAM A.JENSEN, 6UP'T OF BUILDING
LOCALITY �Il/I•. L Gi G L
FOR APPLICANT TO FILL.IN NEAREST
CROSS.ST. r e H
NUMBER FIXTURE OR ITEM EACH FEE
C L
2.. WATER CLOSET $1.25 OWNER MAIL p ,
BATH TUB 1.25 , ADDRESS OL Q (,: R Ft jP4-®
SHOWER 1.25 CITY (L 4 /1 TEL. NO.
LAVATORY 1.25 O CONTRACTOR
SINS ' 1.25 Z ADDRESS
DISHWASHER 1.25 CITY e� ! TEL.NO. -,o 7 y
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. Q (2 COUNTY ❑
CLOTHES WASHER 1.25 r DISTRjCT N GROUP ZO E SSED BY
_ WATER HEATER 1:50 ()
GAS SYSTEMOUTLETS v D-
1.50 WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECO
W
U)
Z
1
,�.. APPROVALS ATjE INSP c7�ofji 51GNATURE
PERMIT $ 2 •00 UNDER SLAB WORK
/� O ROUGH PLUMBING
TOTAL FEE GAS PIPING
-
I
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 HOT WATER HEATER J�
PLUMBING. 1 vl .�t
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES . / ' Ad��v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE . f �
OF PERMITTEE
FINAL
/VALIDATION ROBERT A.WOOD
M.O. CASH SUPERVISING MECHANICAL,ENG'R '
LAGO 2 0-s 4 G3 OCT 31 5 D 15.00- W