HomeMy Public PortalAbout5923 KAUFFMAN AVE_Plumbing__ r
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DBS.17 10.55 - APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY 2,3
Deportment of County Engineer
County of Los Angeles BUILD I NG
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
.CROSS ST.
OWNE OleDISTRIC NO. GROUP ZONE I READY FOR INSPECTION
MAIL
ADDR S
INDUSTRIAL I "
CI E NO. WASTE APPROVAL
PLUMS E INSPECTION RECORD
ADDRESS
CIT // 2—
LICENSE O.' A&C/ U 6
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) - @ $1.00 -T *-17 l y �-4
s - r
BATH TUB @ $1.00
SHOWER @ $1.00 �•
LAVATORY (WASH BASIN) @ $1.00 C,O
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @" $1.00 _
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ,g
PERMIT $ 1 00 ROUGH PLUMBING
`_ GAS PIPING '7.� •� /
TOTAL FEE lP
GAS VENT
I D HEREBY ACKNOWLEDGE-THAT. I HAVE READ THIS APPLICATION HOT WATER HEATER (h ' ! d�ilr'✓ /.Si']9��t�?
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
,
I HEREBY CERTIFY THAT 1 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
FINAL 2Q �
OF PERMITTEE ( 0•
JOHN A. LAMBIE, COUNTY ENGINEER VALM ATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
C N.•. GSH
M5 0 3 7- FEs 13 33 6.0 0 In