HomeMy Public PortalAbout9034 JAYLEE DR_Plumbing_7/19/1965_water heater 76A667-CE0817 4-64
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APPL�CATIONI OR PLUM NG ERMIT
COUNTY OF LOS ANGELES II
DEPARTMENT
BUILDING ANDD SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY _
t- /s
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
o NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.2S MAIL
BATH TUB 1.25 ADDRE '
SHOWER 1.2S CITY l I L. NO.
¢ LAVATORY 1.2S CONTRACTOR
ADDRESS
SINK 1.25
DISHWASHER 1.25 CITY / TEL. NO..
LAUNDRY TUB 1.25 R GIS RA ION NO. -01/49.PCOUNTY ❑
0
CLOTHES WASHER 1.25 _ DIS„TRICT NO. G, P Z NE CESSE BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL06.
APPROVAL O
OUTLETS OVERS PER SYSTEM .30 INSPECTION RECORD U
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O
F-
U
W
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N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK d
ROUGH PLUMBING
TOTAL FEE GAS PIPING
0
I HEREBY ACKNOWLFDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 9eG�
PLUMBING.
I HEREBY CERTIFY THAT '1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
e LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED R)SIDENTIAL P OPERTY. UTILITY CO. NOTIFIED
SIGNATURE ♦
OF PERMITTEE----a— �— «3� (�
FINAL
LIDATION ROBERT' WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LA 0 3 7 1 tlrl." JUL 19 5 D 3.50-