HomeMy Public PortalAbout9454 OLIVE ST_Plumbing__ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES' PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER '
FOR APPLICANT TO FILL IN DISTRI NO. GROUP ZONE PERMIT NO. 00
ECEIVED BY READY FOR DATE ISSUED
PLUMBER T I �► Ila
FIRST INSPECTION V- v_r
VS
ADDRESS �i ��
- BUILDING
CITY ,d +"�, �^ "�. TEL. NO.' � A�T)/ ADDRESS
COUNTY I�/� x7 FF` LOCALITY
LICENSE NO. •EXPIRES . l:1f
t NEAREST "rr
PERMIT FEES CROSS ST. ,rL/�//�
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER /v �1f :t •�.t���F
MAIL *'y '•
WATER CLOSET (TOILET) 0.50 $ ADDRESS ���� IS ?�^ IVA . �/(11yr.�1�V
BATH TUB @ 0.50 CITY./(1�r L 1��( (ll�;}" TEL. NO.
SHOWER ®. 0.50 1 HEREBY ACKNOWLED�GGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.80 APPLICATION AND STATE a AET THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT •1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @• O.SO ANGELES COUNTY LICENSE. -OR 'I AM THE LEGAL OWNER
OF THE RESIDEP(T:. IAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 . 1,
SIGNATURE OF
WATER HEATER @ 0.50
PERMITTEEA�•t �•i 1 I,�i�.� d i{' �w.
SLOP SINK. @ 0.501 1INSPECTIIPN RECORD
FLOOR SINK . @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50I
DRINKING 17OUNTAIN @ 0.50
URINAL Q 0..50 .1
HOUSE SEWER @.0.50 z
MISCELLANEOUS I (�
APPROVALS
D TE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 7.00CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 7:0.0.• ' SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ / FINAL � �
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