HomeMy Public PortalAbout9631 OLIVE ST_Plumbing__ 'BAee7
)VIS-17 to.sB APPLICATION FOR �:PLuMBING 'PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING ��.
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS !
CASSATT D.GRIFFINS SUPT OF BUILDING
LOCALITY
FORLIC T IN NEAREST
CROSS ST.
OWNERN DISTRICT NO. I GF&UPI
1`ONE READY FOR INSPECTION
MAIL
-ADD RES
INDUSTRIAL
CI TEL. NO • i D WASTE APPROVAL.
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL.NO' '
LICE NO.
NUMBER. CRNZ OF FIXTURE OR ITEM PER
WATER CLOSET CTOILET) Q $1.00
BATH TUB ;@•$1.00
SHOWER Q $1.00
LAVATORY (WASH BASIN) .@ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ .$1.00
CLOTHES WASHER @ '$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ '$1.00
' APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK hh
,PERMIT $ 1 00 ROUGH PLUMBING t`�' 'Se.
GAS PIPING
TOTAL FEE mv GAS VENT
1 .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
PLUMBING. PLUMBING FIXTURES
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 A THE LEGAL OWNER OF T E ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT P PERTY.
SIGNATURE
OF PERMITT E ` FINAL ip t-V C)
OHN A.LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD.C141EF PLB.G. INSPECTOR
CH. M.Y. CASH
LACD4 91 4tR APR 10 3 2.00 �'