HomeMy Public PortalAbout9520 OLIVE ST_Plumbing__ 76A667-C)=#8172-62 - 61 EE MPLE CkV
APPLICATION FOR PLUMBING PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �- 10 ®� C
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY 11-71—
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FOR APPLICANT TO FILL IN NEAREST
caosHS
r.. A4 1, [z
NUMBER FIXTURE OR ITEM EACH FEE OWNER + /�
WATER CLOSET $1.25 a94MAIL uj e
7 BATH TUB .1.25g ADDRESS
SHOWER 1.25
CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS 0
DISHWASHER 1.25 CITY TEL.Nogp
LAUNDRY TUB 1.25 CONTRACTOR'S //� sL� STATE Rr
REGISTRATION NO. r0 COUNTY
CLOTHES WASHER • 1.25 ,r DISTIL N¢_ GROUP ZONE P ESSED BY
WATER HEATER 1.50
.b V lOF J
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 �-
INSPECTION RECORD Q,
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A OViALS D TE) INSPF91TBR'S SIGN Tj9
PERMIT $ 1177
2 00 UNDE_,ALJVB WORK
TOTAL FEE �S' ROUGH PLUMBING
GAS PIPING �� •
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT R
y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 42_
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ,� ��•/� A
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE RIBED RESIDENTIAL PROPERTY. UTILITY'CO.NOTIFIED
SIGNATURE �f j
OF PERMITTEE FINAL
VALIDATION ROBERT A. WOOD
c M.o. CASH SUPERVISING MECHANICAL ENG'R
LI,�o r' 3 7 0 C2 AUG 2 5 D 15".0 Q