HomeMy Public PortalAbout9863 OLIVE ST_Plumbing__ 7SM57-=17.3-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RUILDIlVG ���3 =
YORK A.LAM M. County Engineer ADDRESS -
CASSATT D. GRIFFIN.Sup t of uildiag LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. C f k
NUMBER FIXTURE OR ITEM OWNEB ��
WATER CLOSET `
RATS TUB
ADDRESS 16-461(Lt�111 t�
ssowER CITY .e TEL No.
LAVATORY CONTRACTOR P2, Buetior Puto low .
SINS ADDRESS �, 1
DISHWASHER CT �L M N K f TEL NO. � ,r P,
LAUNDRY TUB REGISTRATION NO. ! 01I 3 84 COUTNTY ❑
CLOTHES WASHER DISTRICTNO. SUP pva. P CE88ED Y
WATER SEATER 15,
GAS SYSTEM r INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Q 1.00 PER ITEM i �J
12 vim
$ I 7 ,00 APPROVALS L t7R DATE INSPECTOR'S S�4NATUZ
PERMIT $ 2100 UNDER.S WORK 3-� /-6A ROUGH PLUMBING .D
TOTAL FEE 1A ,
GAS PIPING
-
AHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ti
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
PWITH ALL LUMBING. COUNTY ORDINANCES AND STATE LAWS REGULATING ' HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /
CALIFORNIA OR THAT I AN THE LEGAL•OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �� / ��►A .�E? I�
SIGNATURE /l �OJ'
OF PERMITTEx L�� e9ry
FINA /�0
®O �•VALIDATION ROBERT A.WOOD., e"
SUPERVISING MECHANICAL ENWJR Y�-
'� tea,
"�A.. .. 7-9 4 6S MAR 1 8 5 A 14-00