HomeMy Public PortalAbout9843 OLIVE ST_Plumbing__ 76A667- DBE 17 11-E0 tAPPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER PLUMBING 1
O.
FOR APPLICANT TO FILL IN .• � ^, ,y(
PLUMBER Kq + J � y�Gj,(-�..1� ZDE
BY 'READY FOR DATE ISSUED
FIRST INSPECTION
LOINS
ADDRESS () 6L �"' � E{'^ aAILDING
CITY Cou TYJ �'l�I. .1 TEL N.. G) dI ADR93 ( a �s+]!' '�?4@
LICENSE NO. J� '(� EXPIRES ( EJA _LOCALITY
♦ NEAREST r
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
r!� /WATER CLOSET(TOILET) 0.50 R ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
eF. 'LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND'AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES
i`kITCHEN SINK @ 0.50 AND STATE'LAWS REGULATING PLUMBING.
1CERTIFY THAT 1 POSSESS THE ABOVE VALID LOG
LAUNDRY TUB OR TRAY @ 0.50 'ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM UTLET9 @ 0.50 OF THE RESIDENTIA PROPERTY DESCRI ED ABOVE.
SIGNATURE C/� .l �
WATER HEATER @ 0.50' PERMITTE � .�
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL •@ 0.50 .Q' 3 0 5`L Q
HOUSE SEWER @ O.BO Z
MISCELLANEOUSJ.dJLr ' i O
APPROVALS
DATE INEPEPTOR-B NAME
ROUGH PLUMBING A�
GAS PIPING A1lL '
v
GAS VENT
CESSPOOL @ 1:00 CESSPOOL r
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST A �"
UTILITY CO.NOTIFIED
TOTAL FEE 16 &, /FIN[56- 1 AL ?"