HomeMy Public PortalAbout9653 3/4 OLIVE ST_Plumbing__ -PLICATION FORPLUMBI
,BS.17f0-SB AP NG PERMIT
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of.Los Angeles ButLD1NG
L.
JOHN A. AMBIE. COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN,SUPT OF BUILDING
LOCALITY
OR C TO FAW F-WNEAREST
CROSS ST.
OWNER ` ♦/ DISTRICT,�p. G READY FOR INSPECTION
AMAILDDR S ($ �S p J I I I
INDUSTRIAL
-CITY TEL.NO. WASTE APPROVAL
PLUMBER c INSPECTION RECORD
ADDRESS
CITY - TEL.NO. QvA /-$
LICE O[�.o
1,0077
NUMBER TYPE OF FIXTURE OR ITEM FEE
-WATER CLOSET (TOILET) @ S1.00 $
BATH TUB Q $1..00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @. $1'.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY Q. $1.00
CLOTHES WASHER Q 51.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
v"I '
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS•PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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
DUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST `
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF --
CALIFORNIA OR THAT I Al THF,,eLEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OP Y.
SIGNATURE
OF PERMITTEE FINAL
0HN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CB. M..O.. CASH
L. C08 0 3 3� JUL 11 3 2.0 0
z- $