HomeMy Public PortalAbout9185 JAYLEE DR_Plumbing_7/12/1955_fixtures 76A667 APPLICATION. FOR '•P�UMBI Cf,�fi D ERMI i
DBS-17 3.65 _
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
- WM.J. FOX, COUNTY ENGINEER BUILDING
ADDRESS 4
CASSATT D. GRIFFIN, SUPT OF BUILDING
MMMIR
LOCALITY
FOR-APPLICANT. TO FILL IN NEAREST T
• CROSS ST.
} OWNER _ DISTRICT NO. GROUP
�/y^E READY FORIN4pECi1oN
MAIL /�
_ADDRESS �, ✓ - � I—Cn n�/11
_ INDUSTRIAL
CITY TE N WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS _ fa r �j
CITY EL.'NO.Ce
LICENSE NO..
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
- $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER '
LAUNDRY TUB OR TRAY '
CLOTHES WASHER '
TOTAL NO. ` @ o.ao APPROVALS.
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00 -
UNDER SLAB WORK - — -
WATER HEATER @ 1.00
PERMIT 1 00
ROUGH PLUMBING ��, "S• VtltO.'((� ,.k'
5
_ S GAS PIPING.
' 'TOTAL FEE 'IT7�/ GAs vENT.
I HEREBY ACKNOWLEDGE THAT IHAVE .READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING - PLUMBING FIXTURES °J
PLUMBING. - - - -
I HEREBY, CERTIFY THAT 1 -AM PROPERLY.REGISTERED AND/OR GAS TEST
LICENSEDAS REQUIR OS.ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I AM THE LEGAL OWN E A804'E - UTI LITY CO. NOTIFIED
DESCRIBED RESIDE IAL PERTY, - - _ (�� "yam•/
SOF PERM TTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
C05545U-) im12 3 3.40
4 .