HomeMy Public PortalAbout9726 OLIVE ST_Plumbing__ 78A687
aBB.17 s.s's APPL:ICATI.ON FOR "PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Depostlnent of County Engineer
County of Los Angeles
WM.J. FOX.COUNTY.ENGINEER BUILDING 4+'
ADDRESS
CASSATT D.GRIFFIN,SUP-T OF BUILDING -
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST. ,�+ _*
OWNER DISTRICT NO. GROUP. fftN JR FOR INSPECTION
MAIL /�
ADDRESS f
t }¢�" INDUSTRIAL
CITY V !�'r T L.Me. WASTE APPROVAL
PLUMBER ,( _�p P / INSPECTION RECORD
ADDRESS
CITY
TEL.NO:
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
e
t LAVATORY (WASH BASIN)
= KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY ,
CLOTHES WASHER
TOTAL NO. @ 0.80' APPROVALS .
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM q OUTLETS C0 1.00
WATER HEATER (ql 1.00 UNDER SLAB WORK
PERMIT
ROUGH PLUMBING ll 101S44—k-411,(„�.,,_,,,
S 1 00 .
GAS PIPING.
TOTAL FEE Q GAS VENT
I HEREBY ACKNOWLEDGE THAT-•.1: HAVE READ THIS APPLICATION HOT WATER HEATER A
AND STAVE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS•.ANGELES COUNTY AND STATE OF /' s-
CALIFORNIA OR THAT I AM THE LEG L OWNER OF THE ABOVE UTILITY CO.NOTIFIED `o I e-.
DESCRIBED RESIDENTIA ROPERTY. /
SIGNATURE
OF PERMITTEE — � t'v9��'J FINAL U 4.
WILLIAM J.FOX.COUNTY ENGINEER �7 U MATT R.A.WOOD.CHIEF PLBG.INSPECTOR
rj f�' ^ 19 7 1 rlrnl O 6 .I n
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