HomeMy Public PortalAbout9951-9951 1/2-9953-9953 1/2 OLIVE ST_Plumbing__ 76A667- .55 APPLICATION FOR PLUMBING PERMIT
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DBs.17'DM&[ON OF BUILDING AND SAFETY
Department of County Engineer
County Of TAS Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS.
CASSATT D.GRIFFINS SUPT OF BUILDING / �•
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. ZONE READY FOR INSPECTION
MAIL 1 ,7,
ADDRESS
INDUSTRIAL I
CITY T NO. WASTE APPROVAL
PLUMB n - I1NSPECTION RECORD
ADDRESS U � /ry t I' I g== e.,a\9 nj2�p.,
La.t^-. =
CITY G TEL.
�NO :3Z4,� /
.may
LICEN ENO�` �,�3CO(QCP °'�. 5s, MA�)
NUMBER TYPE OF FIXTURE OR ITEM FEE cam.
WATER CLOSET (TOILET) @ $1.00 ''° �� ?�y� •�F�y�a'* �?��'
BATH TUB @ $1.00
SHOWER @ $1.00 1 E J
LAVATORY (WASH BASIN) @ $1.00 �+ o
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 � �
LAUNDRY TUB OR TRAY @ $1.00. -
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE I SPECTOR'S SIGNAT RE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING rL'_ ._C�. �•. .—�
GAS PIPING
TOTAL FEE 2tr &V GAS VENT
1 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 PLUMBING
IHEREBY CERTIFY THAT I 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 B E UTILITY CO.NOTIFIED
DESCRIBED RESPER
SIGNATURE P `�
OF PERMIT =
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBb-. SPjCTOR
CK.1 M.®. DASH
o
8 2 VAY 1'7 3 2 5.0 0