HomeMy Public PortalAbout9160 OLIVE ST_Plumbing__ 76A667 (C6-617) - 175
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS I
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
n
FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM Q FEE
OWNER
WATER CLOSET 2.00 MAIL
BATH TUB 2.Oq , = _1 7
SHOWER 2,0CITY (� TEL. NO. 20J'
4 LAVATORY 2,0 CONTRACTOR
SINK 2.0 ADDRESS
DISHWASHER 2. CITY TEL. NO.
CLOTHES WASHER 2.40 STATE LI'C
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2, p
DISTRICT NO.GROUP ONE CESSED BY
LAWN SPRINKLER SYSTEM 2, 0 '3 y 1
WATER HEATER 2. 0 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2. 0 INSPECTION RECORD C
OUTLETS OVER 0 v
5 PER SYSTEM
CC
O
F-
V
W
CL.
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check app('cant UNDER SLAB WORK _ *, r
Name ROUGH PLUMBING
Address ,r' GAS PIPING �/, �-7 �Hi✓s oa!
City .11o, T61. No. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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 RE(IUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT IAM
NE LEGAL OWNER F, Alfa fli Ttlib TO /
RESIDE IN THE ABOVE DESC ED RESIDENTIAL P OPERTY. FINAL -2_6-77,
SIGNATURE
OF PERMITTEE !"
PER IT LID ION CK. M.O. CASH
PLAN-CHECK VALIDATION CK. M.D. CASH
0 0 8'cu-'.A11G 1 5 0 1 1..7 5 •�$8