HomeMy Public PortalAbout9174 JAYLEE DR_Plumbing_1/22/1962_fixtures 76A667-CE.#817 5-61,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
.WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY -
FOR APPLICANT TO FILL IN CgOg�,q ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
DAD REBS I vT"-
e e-
BATH TUB
CITY �, TEL. O.
SHOWER
LAVATORY CONTRACTOR _ G
ADDRESS
SINS
DISHWASHER CITY TEL. NO.
CONTRACTORS STA ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DIST�21 N GRO ZPNE P O SS Y
WATER HEATER
GAS SYSTEM INDUSTRIAL 0
WASTE APPROVAL
INSPECTION RECORD ®'
68
Lu
• Vf
O $OR-FIXTURE
PER ITEM
TURE $ '' -APPROVALS DATE(([ INSPECTOR'S SIIgNN/ATUR6
PERMIT S 1 2100 UNDER SLAB WORK
TOTAL FEE —� ROUGH PLUMBING 7,5 ifofi�/fyply�'`�`�
GAS PIPING
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER -v
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
VCENSED AS REQUIRED BY LOS ELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM T�1 LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL O UTILITY CO. NOTIFIED
SIGNATURE �f' 9
OF PERM
ITTE FINAL
0
VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
v UP' 7 2 8 9 " JAR '-72 5 D 5 .00