HomeMy Public PortalAbout9470 OLIVE ST_Plumbing__ BA,se, APPLICATION FOR PLUMBING PERMIT 1
IBB:t;p(DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles- BUILDING L 7 �y /
JOHN A. L.AMBIE. COUNTY ENGINEER ADDRESS 7 /.� G/+ ��
CASSATT D..GRIFFINa SUP+T•OF BUILDING rr
LOCALITY a C
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST. G/f�d o+
OWNER DISTRIC�.. GROUP `E _1 READY FOR INSPECTION
MAIL
ADDRESS _ I it I JbP8
PP��
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER 1'4 F. 7;L t°j6elINSPECTION RECORD
ADDRESS Aegx
CITY c— TEL.NO. Is g-
LICENSE NO. I q 3 k 4
NUMBER TYPE.OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 5.3-60
_ BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 O
KITCHEN SINK @ $1.00 O
DISHWASHER @ $1.00 /
LAUNDRY TUB OR TRAY @' $1.00
CLOTHES WASHER @ $1.00 /
WATER HEATER @ $1.00 t�'a
GAS SYSTEM @ .$1.00 £7
APPROVALS
DATE UPPECTOR'S SIGNATURE
UNDER LAB WORK
PERMIT $ 1 00 i ROUGH PLUMBING -..�
>D GAS PIPING
TOTAL FEE. I GAS VENT
I 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 E
PLUMBING FIXTURES
PLUMBING. 1
1 HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER'OF THE ABOVE UTILITY CO.NOTIFIED-
DESCRIBED RESIDENTIAL Y.
SIGNATURE
OF PERMITTEE FINAL' lal gam' .�•�
IOHN A.LAMBIE.COUNT ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CE. M.0. CASH
L 2.2.2. 1ZR JAv25 3 12.00 lo