HomeMy Public PortalAbout9404 OLIVE ST_Plumbing__ 7 ,667-CL817 12/59
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APPLICATION FOR Pi.iEBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7'A'7D:n
BIIHDN�i�r�aMsl coErTiTY,rNIVLNEON 0 Olive
WILLIAM A.JENSEN,Burt of BUILDING em le Ly]tFOR APPLICANT TO FILL INi NUMBER FIXTURE OR ITEM . L. Sher:NA
WATER CLOsRTRATS TUs0 Olive
crrY Tem le Cit TF73 83 9
SHOWFe
LAVATORY CONTRACTOR Californis Inc.
SINK ADDRESS 8806 E. Las
DISHWASHER CITY San Gabriel TF6-200 .
CONTRACTOR'S STATE ❑
LAUNDRY TUB
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP ZONE PR SED BY
WATER HEATRR � O
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
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Pool Vila t e r INSPECTION RECORD
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B $1.00 PER ITEM
OR FIXTURE $ I 0 APP VALS DATE INSPECTOR'S S1Gf1ATURE
PERMIT $ 2100 UNDER w K. 61
TOTAL FEE I .MI ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE 10. COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER :OF THE ABOVE
DESCRIBED RESIDENTIALPROPERTY.' /JC%� UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE_ FINAL
�R VALIDATION ROBERT A.WOOD,
B.0. CASE SUPERVISING MECHANICAL ENG'R
Ubl&3 .8 3 5 0 JUL 2 0 5 D .0 `�°