HomeMy Public PortalAbout9947 OLIVE ST_Plumbing__ 'BS-17
IB .17 .�, APPLICATION FOR PLUMBING PERMIT 9
f0-SS r
I kk*N OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los AngelesBUILDINGill
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS9,907
CASSATT D.GRIFFIN.SUPT OF BUILDING c+
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL. WASTE APPROVAL
PLUMB f INSPECTION RECORD
ADDRESS O.5`d V� t � .9
CITY /TEL.NO. Q i �aa�� v�'�' v-'-`-a---"4�
LICEKE 3�CP CP T' �� '(
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) Q $1.00
BATH TUB Q $1.00 " A_
SHOWER Q $1.00 c�
LAVATORY (WASH BASIN) Q $1.00 c U
KITCHENSINK Q $1..00 f �`�� �[✓� + fl ,
DISHWASHER Q $1.00
LAUNDRY TUB OR TRAY Q $I.00
CLOTHES WASHER Q $1.00
WATER HEATER Q $1.00
GAS SYSTEM Q $1.00
APPROVALS
DATE 1 SPECTrrOR'S SIGNATURE
UNDER SLAB WORK � + Ilii t.,,t,,, �•_
PERMIT $ 7 00 _ ROUGH PLUMBING i ., i +�I�• A
q 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 PLUMBING FIXTURES
PLUMBING. _
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED e' v
DESCRIBED RESIDENTIAL P PERT P
SIGNATURE
OF PERM ITT FINAL
IOHN A:LAMBIE. COUNTY ENGINEER' VALIDATION ROBERT A.WOOD.CHIEF PLBc3. INSPECTOR
CK. M.0. ,CASH
.68 2 7 u-- Patty 17 3 2 9.0 0