HomeMy Public PortalAbout5939 KAUFFMAN AVE_Plumbing__ APPLICATION
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
_ WM.J. FOX, COUNTY ENGINEER BUILDING A/
ADDRESS ,P
CASSATT D. GRIFFIN, SUPT OF BUILDING / 7�
LOCALITY IV/ �/�•�
F R APPLICANT TO FILL IN CREAREST
OSS ST. OD
OWNER I 61y, " DICT NO. GP ZO a,_1� READY FOR INSPECTION
MAIL (/ 4
ADDRE00,
w INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY e L.NO
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN) i
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00 -
WATER HEATER @ 1.00 UNDER SLAB WORK
- fI
PERMIT 1 00
_ROUGH PLUMBING S
I GAS PIPING
TOTAL FEE GAS VENT
I-HEREBY ACKNOWLEDGETHAT 1 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.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY/ LOS ANGELES'COUNTY AND STATE OF UTILITY.CO. NOTIFIED
CALIFORNIA OR THAT 1 /AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RES i DENT IA 1,41P,RO_ER9TY. d Irf
SIOF PERM TTFF:-"�7. .G--/ FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R.A.WOOD. CHIEF PLBG. INSPECTOR
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