HomeMy Public PortalAbout9185 JAYLEE DR_Plumbing_3/16/1979_gas system 76A667A\�\S
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kPPUCCAS'0®IN FOR PLUMBQ[NG PERW]T'
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
9 1 8 5-jaylee
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY- Temple City
NEAREST L/I'
BATH TUB CROSS ST. a
SHOWER.' OWNER Phillips
LAVATORY MAIL 9185 lee
ADDRESS J.a y
SINK CITY ' . Temple City TEL.NO
DISHWASHER CONTRACTOR
Bryant Heat & Air Cond
CLOTHES WASHER ADDRESS 1350 E Las Tunas Drive
SWIMMING POOL RECEPTOR
CITY San Gabriel TEL.NO. 286-1141
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. 221751 CLASS C 2 0
APPROVALS DATE INSPECTOR'S SIGNATURE
1 GAS SYSTEM OUTLETS 3 00
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING.
GAS PIPING a
GAS VENT
HOT WATER HEATER pQp
PLUMBING FIXTURES,.
GAS TEST yr A;
Q�nl
Plan check fee UTILITY CO.NOTIFIED g
PLUMBING PERMIT ISSUING FEE$ 7 00
_ TOTAL FEE 105_0 FINAL
Plan check applicant PLAN CHECK VALIDATION Y
Name
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES n
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION n
7
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOSANGE COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE O O O O O 5
LEGAL OWNER OF,AND INT NO
TO RESIDE IN THE ABOVE BED RESIDENTIAL
PROPERTY. 2 - - 1,000
SIGNATURE ,. g
OF PERM ITT O O Q qq 1 0,0 0 cgs
DISTRICT NO. PROCEjVb BY 031 6-7-9
� . PO
INDUSTRIAL
WASTE APPROVAL