HomeMy Public PortalAbout9180 JAYLEE DR_Plumbing_6/28/1954_86768 fixtures DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER r6
FOR APPLI ANT TO FILL IN LOCALITY r
BUILDING NEAREST
ADDRESS CROSS ST.
DISTRICT NO. GROUP I ZONE PERMIT NO.
LOCALITY
NEAREST v to
CROSS ST. RECEIVED
//BY Ready for Inspection `DATE ISSUED
"/�
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL,NO. INSPECTION RECORD
VALLEY 13UULEVARD PLUMBING CO.
PLUMBER
ADDRESS 0 EAST VALLEY BLVD.
CITY
EM EAD TEL.NO. AT. 2-2719
25 ❑STATE
LICENSE NO. ►- B+BOUNTI• J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE ur
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0180
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
A 'tc- APPROVALS
r DATE �fIN_/S�PECTORjS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED
A REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CAL RNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE450SCRIBED BRIDE T L BROPERTY. /- UTILITY CO.NOTIFIED
SIGNATURE
' OF PERMIT . _.-L...... - —..�'--- '- PFfI
NAL `c21 y,,r
-Vi
761667 DBS 17 1/53 =