HomeMy Public PortalAbout9966 OLIVE ST_Plumbing__ 76''x' APPLICATION FOR PLUMBING PERMIT
DBS.;7 I2•S4
_;MSION OF BUILDING AND SAFETY . ,.
.r Deportment of County Engineer
County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDINGADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING �'�
-LOCALITY / /V/7I A. /0 C /T
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT.NO. GROUP ZONE READY FOR INSPECTION
ADDRESSMAIL e J I (�'!'Z_ (-
INDUSTRIAL
CITY TEL.NO.- WASTE APPROVAL
PLUMBER & A in J? f3war- ty INSPECTION RECORD
ADDRESS /` y
CITY 0. /! TEL. NO. it.19 O
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE ,
® WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
d KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
e - _
-3 —TOTAL-NO. @ 0.80 APPROVALS
DATE SPECTOR•S SIGNATURE
'GAS SYSTEM—L9-OUTLETS 0 1.00 OO
UNDER SLAB WORK -t-o �%T ak-.
WATER HEATER @ 1.00• j to ROUGH PLUMBING �r
PERMIT $ I 1 00 GAS PIPING
TOTAL FEE y0 _ GAS VENT !�
1 HEREBY ACKNOWLEDGE THAT I .HAV,E READ THIS APPLICATION HOT WATER HEATER 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY l r (())
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES -
PLUMBING, o 4 `
I'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF UTILITY CO:NOTIFIED. VL61
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE OVE
DESCRIBED RESIDENT( PR RTY.,
SIGNATURE
OF PERMITTEE FINAL U U Y
WILLIAM J. ,COUNTY ENGINEER 'VALIDATION
1&2 7 9-9S RPR20 3 5.4 0 .
BY
DEPUTY