HomeMy Public PortalAbout6138 KAUFFMAN AVE_Plumbing__ . - -
DBS-17 10-55 APPLICATION
®®LIC pI®N r -® VMr I N G PERMIT RMIT
'•'
.� .
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING .. - -
LOCALITY•
FOR APPLICANT'TO FILL IN NEAREST
CROSS ST.
OWNER /_ DISTRICT N�Of GROUP ZONE READY FOR INSPECTION
MAIL C '.
ADDRESS
INDUSTRIAL _
CITY - - TEL. NO. WASTE APPROVAL
PLUMBER _ �' 7� /II ! INSPECTION RECORD -
71?
ADDRESS �^1 �c �I tV t /QlV
CITY f /V /y�'7Ci/TEL. NO.
LICENSE NO. If-3 6.
NUMB R TYPE OF FIXTURE OR ITEM • FEE ••�� ��� y
WATER CLOSET (TOILET) @ $1.00 `� V �/'�-� d2kZ f
BATH TUB _ @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00_
KITCHENSINK @ $1.00 .��'� /c •/��/� �1A
DISHWASHER @ $1.00 �• (�-.5 g7r'J'P'l PAS IVA-��,le -
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $I.00 -
GAS SYSTEM @ $1.00I�"!/? /I'rj //�^�y/
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 7- /�/
_ I GAS PIPING
TOTAL FEE vim'
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION iI
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY' ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST / ZI
LICENSED AS REQUIRED BY'LOS ANGELES COUNTY AND STATE OF .J
CALIFORNIA OR THAT 1 AM T14X LEGAL OWNER OF THE* ABOVE UTILITY CO.NOTIFIED �' e• /j���O,�', (J�ff,
DESCRIBED RESIDEN L P OP ^_�
SIGNATURE
OF PERMIT TE GI, FINAL
JOHN A. LAMBIE, COUNTY ENGINEER • VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CASH
L� 6 '7 6 3 7 3
• e