HomeMy Public PortalAbout9522 OLIVE ST_Plumbing__ 76A667-CE#'817 2-62 PAPL4`¢sl CIT Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEARESSTT.
BUILDING AND SAFETY DIVISION JOHN A. LAMBI.E, COUNTY ENGINEERWILLIAM A.JENSEN, SUP'T OF BUILDING R � � e,. .FOR APPLICANT TO FILL IN CROSS I/VI I tJ
NUMBER FIXTURE OR ITEM EACH FEE OWNER
12 WATER CLOSET $1.25 MAIL
BATH TUB 1,25 / r ADDRESS
SHOWER 1,25 CITY TEL. NO.
LAVATORY 1,2.5 � CONTRACTOR
SINS 1,25 ADDRESS Ss
DISHWASHER 1.25 CITY W.au ! TEL. NO.99
O
LAUNDRY TUB 1,25 CONTRACTOR'S J�S� STATE
REGISTRATION N0. r-F COUNTY
CLOTHES WASHER 1.25 DISTRICT N_ . GROUP ONEPROCEBBED BY
WATER HEATER 1.50 b a
GAS SYSTEM OUTLETS 1,50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30
9 INSPECTION_ REC D
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1 �
I
APPROVALS DATE INSPECT R'S SI NA URE
PERMIT $ •2 00 UNDER SLAB WORK , r4
ROUGH PLUMBING 1 — lop Z11,
TOTAL FEE J~ �b GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
y, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE. OF r //
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DES IBED RESIDEN PROP RTr. UTILITY CO.NOTIFIED
SIGNATURE -wx.
OF PERMITTEE FINAL
VALIDATION ROBERT A.WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
1a i Y L'U c J U