HomeMy Public PortalAbout9186 JAYLEE DR_Plumbing_3/17/1971_fixtures 7E A 667 t'CE 817 7-69 -
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APPLICATION FOR PLUMBING .. PERMIT
COUNTY OF LOS' ANGELES
DEPARTMENT OFCOUNTY.ENGINEER n91-/BUILDING ANDD SAFETY DIVISION ADnaEss (p d/
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �� P
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER .FIXTURE OR ITEM EACH FEE OWNEA
WATER CLOSET 1.50 040 Al"? a
MAIL //��
pADDRESS
/C
BATH TUB 1.50 _
LAVATORY 1.50 j CONTRACTOR p `�
SINK 1.50 . O ADDRESS
DISHWASHER 1.50 CITY W, r•r TEL. NO.
CLOTHES WASHER 1.50 D '-STATE - q 2 ��JLIC
LICENSE NO v CLASS
' SWIMMING POOL RECEPTOR 1.50 B' `
DISTRICT NO.. GROU ZONE �CESSEZ
LAWN SPRINKLER SYSTEM 2.00 �'} •,��
WATER HEATER 1.50 •� E APPROVAL -
GAS SYSTEM OUTLETS 1.50 J Q INgPECTION RECO
OUTLETS OVER.
5 PER SYSTEM .30 3 �o
ku
Plan check fee 25% of above. See reverse. 0 Q
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE 1 PECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name - -ROUGH PLUMBING
Address ® GAS PIPING
` GAS VENT
City. Tel. No.
HOT WATER HEATER foo
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST ..
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF _
CALIFORNIA OR THAT.I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESC IBED REST NTIAL PROP RT�. FINAL
SIGNATURE
OF PERMITTEE JACK R. ALLEN, SUPERVISING MECHANICAL G'R.
- -.. •- - PERMIT VALIDATION C K. M. CASH
PLAN CII-BECK VALHDATIION CK. M.O. CASH
�µ&('� 9 0 6, AR17 5 D 1 4.0.0N