HomeMy Public PortalAbout9324 OLIVE ST_Plumbing__ )BS-17: APPLICATION FOR -PLUMBING PERMIT .1
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Dmi* ON OF BUILDING AND SAFETY
Department of County Engineer
County of LOB Angeles BUILDING,
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT of BUILDING -
LOCALITY t
XORAPPLICANT TO FILL IN NEAREST
CROSS'ST.
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OWNER 'DISTRI.CT NO. GROUP
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ADDRESS f
CITY TEL.NO. WA TEA PROVAL
PLUMBER INSPECTION RECORD
ADDRESS 11 ►fora¢ lw/. a-0n6
CITY TEL.NO,,AAV
LICENSE NO. le 0 OpTL.7
NUMBER
TYPE OF FIXTURE OR ITEM FEE
!/ WATER CLOSET (TOILET) @ $1.00 $ y
BATH TUB @ 51.00
SHOWER Q :$1.00
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LAVATORY (WASH BASIN) Q $.1.00
KITCHEN SINK @ $1.00
DISbIWASHER Q $1.00
LAUNDRY TUB ORTRAY @ $1.00
CLOTHES WASHER Q. .$1.00
WATER HEATER @ $1.00
GASSYSTEM @ ..$1.00
APPROVALS
DATE IN PECTORIS SIGNATURE'
UNDERI-SMB WORK m -;e-- G!A-
PERMIT $ 7 00 ROUGH PLUMBING 1 1 0 e
1,00 GAS PIPING `
TOTAL FEEGAS 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. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR. GAS TEST '� S
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE .UTILITY CO.NOTIFIED `!Z
DESCRIBED RESIDENTIAL PROPERTY,
SIGNATURE 1
OF PERMITTEE Aflwow FINAL
IOHN A.LAMBIE,COUNTY ENGINEER V LMATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
M.o. cAsx .
L&.3- 1 2 2 if. flEC 3 12.0' 0
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