HomeMy Public PortalAbout9087 LYLEDALE ST_Plumbing__ 76AG67 PPLICA` ION FOR PLUMBING INO PER IT
DBS-17 12.54
DIVISION OF BUILDING AND.SAFETY ,
Deportment of County Engineer
County of Los Elves
WM.J. FOX, COUNTYTY BUILDING
ENGINEER
ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAREST �1
may. CROSS ST.
OWNER n A F ® tom 1 I4 DISTRICT NO. GROUP ZONE.I READY POR INSPECTION
MAIL �' y
ADDRESS ! V
INDUSTRIAL
CITY TEL. NO. - WASTE APPROVAL
J. A .
PLUMBER O.R {rte' - INSPECTION RECORD
0
ADDRESS 4hb ei I��' I�� Ir 1,6 ..
CITY U' t& vrzi E,`, 1. TEL. NO,Rf !A7 A ® 61^' �u'� '1 SL � ?'@:K ✓h� �k i C3--i..._�� •
LICENSE NO. �rA J
NUMBER TYPE OF FIXTURE OR ITEM FEE <I .. � ��` " "-ct
v1 6 l
D WATER CLOSET (TOILET) Z 67 VL 3 rI
If BATH TUB
SHOWER Q�
j LAVATORY (WASH BASIN) q® «
KITCHEN SINK �o
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
�? TOTAL NO. @ 0.80 L - APPROVALS
-�-�- DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
_ WATER HEATER @ 1.00 B UNDER SLAB WORK I
ROUGH PLUMBING
PERMIT $ 1 00 GAS PIPING Y _
TOTAL FEE I ®� GAS VENT
I HEREBY ACKNOWLEDGE THATA HAVE READ THIS APPLI ATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ PLUMBING FIXTUP.ES_ {�
PLUMBING. GAS TEST
I HEREBY CERTIFY'THAT I AM- PROPERLY REGISTERED. AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED U ( v LI
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL-PROPERTY.
SIGNATURE �;7
OF PERMITTEE c•Y (r��`1�1. FINAL
WILLIAM J. FOX, C u TY ENGINEER VALIDATION
0,62 8 6 2S APR 21 3 7.0 0 I�
BY
DEPUTY