HomeMy Public PortalAbout9161 JAYLEE DR_Plumbing_8/24/1971_fixtures ,1t76`A`6A CE 817 �7-69� � .
10 APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 'MRD s �� l�E
JOHN A. LAMBIE, COUNTY ENGINEER °
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) 'NEAREST -
CROS&ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER ��
WATER CLOSET �. - -
ADD 779V46;---
G.�,- DSP
BATH TUB 1.50 ' ADDRESS � �G
SHOWER 1.50 CITY G TEL. NO. '�
LAVATORY 1.50 CONTRACTOR -
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE. - LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ��NESSED BY
LAWN SPRINKLER SYSTEM 2.00 . :J :. �5--
WATER HEATER 1.50 7-° INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM. OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM •30 r.--�.�l'7� Y!✓M'/ '1l .�i��.SE3rT�'�/sY,D�
�.r®- AA- 4_/S I A) /A/Cj--c1,�� Lu
pro e s Al A/A16 sAI A e A3. H
z
Plan check fee.,25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S , 0�0
TOTAL FEE �" APPROVALS ' •DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address
GAS•PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
1 HEREBYACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OR D INANCE5 AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEG�WNERND INTEND TORESIDE IN,THE ABOVE D RIBED RERTY. FINAL.SIGNATURE YV JACK R. ALLEN,_SUPERVISING ME JiANICAL ENG'R.
of PERMITTEE - PERMIT VALIDATION K. `M.O. 'CASH ;
PLAN CHECK VALIDA'T'ION CK. M.0. CASH
19 AUG-24 - •5` D": 82S.N