HomeMy Public PortalAbout9023 JAYLEE DR_Plumbing_7/23/1959_gas system kA887-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION. BUILDING
JOHN A. LAMBIE, CountF Engineer ADDRESS /O a
CASSATT D GRIFFIN,.Siip t of Building
LOCALITY �e
o. h
FOR APPLICANT TO FILL IN NEAREST. SGl `� i? /ZY
NUMBER . FIXTURE OR ITEM
OWNER Q
WATER CLOSET
BATH TUB DDRESS 6 J
SHOWER CITY ° TEL. NO.
Co
LAVATORY CONTRACTOR. %
SINS ADDRESS
DISHWASHER CITY T O.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY .❑ -'.
y: CLOTHES WASHER DISTRICT.NO GROUP ONE PRr,ESSED BY
WATER HEATER
% GAS SYSTEM INDUSTRIAL
f WASTE APPROVAL
INSPECTION RECORD
s
n .
APPROVALS
@ $1.00 PER ITEM
OR FIXTURE $ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING �y
TOTAL FEE GAS PIPING'
o. .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ?j
PLUMBING. PLUMBING FIXTURES e�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ISA / N07/✓9-4-W F,D
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED - – - --
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERM ITTE FINAL
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
fK M.0. CASH
i_.
0 0 2 3 ,!UL 2 3 5 A
3 .00 �°