HomeMy Public PortalAbout9471 OLIVE ST_Plumbing__ )BS-17,o.ss APPLICATION FOP -PLUMBING PERMIT
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of.Los Angeles BUILDING
JOHN A.L.AMBIE..COUNTY ENGINEER ADDRESS D /'�E
CASSATT D..GRIFFINS SUPT of BUILDING ^
LOCALITY � � � i ' oe�
FOR APPLICANT TO FILL .IN NEAREST
CROSS ST. . �' D l�Cle.1
N
OWER /^ u O DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS I
INDUSTRIAL
CITY TG`s /Q TEL.NO. WASTE APPROVAL
PLUMBER a 0/1C/ 1 • .5 Te Lu/9/L INSPECTION RECORD
ADDRESS V 6,.,
CITY j A /TEL.NO W 40 V O
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM gqFEE
WATERCLOSET (TOILET) @ $1.00 $oC OQ
BATH TUB @ $1.00 �0
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @. $1.00 d
DISHWASHER @ $1.00 Od
'LAUNDRY TUB OR TRAY @ $1.00.
CLOTHES WASHER @. $.1.00
WATER HEATER @ 51.00 B
GAS SYSTEM @ $1.00 d�
APPROVALS
DATE 1 PECTOR•S SIGNATURE
UNDER SLAB WORK
PERMIT S ROUGH PLUMBING
7 00 Q
GAS PIPING
TOTAL FEE O v
Gas VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORREI:T AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTYND STATE OF -
CALIFORNIA OR THAT 1 M THE LEGAL OWNE THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT[ ROPERTY.
SIGNATURE
OF PERMI FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
C M.0. CASH
' LAC0 5- 8 0 5 f MAR 6. 3 1 2.0 0 In