HomeMy Public PortalAbout9809 OLIVE ST_Plumbing__ 87ACE8 ,,,..�..........,
CE 817(REV.6/78) -
00s
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
- Olive
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY .,emp l$ f`'i war"
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL.NO.
DISHWASHER CONTRACTC�orge Plumbing
CLOTHES WASHER ADDRESS 0 1
SWIMMING POOL RECEPTOR }t{�
CITY F' r. e TEL.NO.r lJ .-
LAWN SPRINKLER SYSTEM TATE LIC
WATER HEATER LICENSE NO. M54241 CLASS B C 3CJ
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK d
5 PER SYSTEM ROUGH PLUMBING 0
GAS PIPING U
W
GAS VENT 'J
HOT WATER HEATER }
PLUMBING FIXTURES Q
GAS TEST 0
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL Q L
Plan check applicant PLAN CHECK VALITON
Name
Address
City Tel.No. ^
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES o � • f •
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS • •
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
SIGNATURE "
OF PERMITTEE
DISTRICT NO. PROCESSED BYi
INDUSTRIAL
WASTE APPROVAL