HomeMy Public PortalAbout9015 JAYLEE DR_Plumbing_5/26/1958_add fixtures 76A667-C E8 l 7-8-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ..
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPL£CANT TO FILL IN NEAREST
CROSS ST. ::..
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
IL
BATH TUB ADDRESS
SHOWER CITY ` ' STEL.NO. It-7 J
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTR46.T._N O. GROUP ZONE READY FOR IrvsPecnon
WATER HEATER -,
i
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
�p $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ UNDER SLAB WORK
+ ',
ROUGH PLUMBING
PERMIT � 1 00 —
GAS PIPING
TOTAL FEE j GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE 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
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
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 PERMITTEE.._� " : FINAL
ir
ROBERT A. WOOD.
o, VALIDATION SUPERVISING MECHANICAL ENG'R
C K. M..