HomeMy Public PortalAbout4924 KAUFFMAN AVE_Plumbing__ 76A667-CE817 12/59 "771
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING i/
BUILDING AND SF�FETY 1)IVISIONNEER `7��i� l f��,c,C /r>li✓
JOHN A. LAMBIE, ouNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING _1
LOCALITY ��
FOR APPLICANT TO FILL IN NEARESCROSS ST. zp ei
NUMBER FIXTURE OR ITEM OWNER ,(„J
WATER CLOSET MAIL //
ADDRESS Il /rI LJ /17/�{/✓
BATH TUB
SHOWER CITY �, TEL. NO.
LAVATORY CONTRACTOR Ly )/, L�
SINS
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DISHWASHER CITYI/,1/0/,/ C=-�1/� J TEL. NO. r 2 d
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. I GROUP ZONE
1 ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD ?
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O$L00 PER
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R FIXTURE $ �I
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE v ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
( LICENSED AS RE R BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA 0 THAT I THE LEGAL OWNER OF THE ABOVE
DESCRIBED RE DENT AL OPERTY. UTILITY CO.NOTIFIED
SIGNATURE i
OF PERMITTE FINAL
®� / ALIDATION ROBERT A. WOOD,
c Y.0. CASH SUPERVISING MECHANICAL ENGR
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