HomeMy Public PortalAbout9962 OLIVE ST_Plumbing__ APPLICATIONFOI� .PI�U�IBII�G, IVT," 1
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DB3.163'
''NkSION OF BUILDING.AND SAFETY ,
Department of County Engineer
County of Los Angeles BUILDING Olive
.JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN:SUPT OF BUILDING LOCALITY TeID"Jle City
FOR APPLICANT"TO FILL- IN '. I CROSST
OWNER 1=0012 DISTRICT N$ GROUP ZONE READY FOR INSPECTION
ADDRESSMAIL
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL I..
PLUMBER Leets P1Umbing INSPECTI N RECOR ,
ADDRESS- 7 f J9 E. Garvey Blvd. _j �, ;
CITS S TEL.NO.•At-0-36:91
LICENSE NO. C b 107242
NUMPER-ER• TYPE-OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $Am
BATH TUP @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $.1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @. $1.00 CT.
CLOTHES WASHER @ .$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS.
DATE I PECTOR'S SIGNATURE
UNDER.SLAB WORK .D _
PERMIT $ i 00 RCU'GH'PLUMBING
GAS.P.IPING
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 l ;
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED .AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE O.F
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT ��O
•SIGNATURE
OF PERMITT FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF.PLBG. INSPECTOR
C M.O. CASH
�� 3 3 3 3 DEC 13 3 8.0 0 m