HomeMy Public PortalAbout9622 CRAIGLEE ST_Plumbing_4/1/1966_water fixtures and gas outlets (2) 76A667-CE4817 6-65 -�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGIVj�Z Z6-
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS C
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNERMAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 S CONTRACTOR �L_ Yoz:, f 6-
SINK 1.25 ADDRESS �j L (S
DISHWASHER 1.25 CITY '' Xe ��' TEL. NO,,;jgG _/572
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO�a?s �� CLASS 0 ��o
0
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCE SED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS "So / .I O INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
0
H
U
W
CIL
N
Z
APPROVALS DATE INSPECTOR'S SIGNATUIRE
PERMIT $ 2 00 UNDER.SLAB WORK
ROUGH PLUMBING __...�
TOTAL FEE 0049 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
All STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY' CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL WNE OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RE ENTI ROPERr UTILITY CO. NOTIFIED _
SIGNATURE
OF PERMITTEE FINAL -717 C
LIDAMN
CK M.O. CASH
LHUo 0 9 4 6 U FSPR 1 5 _D 6.&0:-