HomeMy Public PortalAbout6141 KAUFFMAN AVE_Plumbing__ 76A667•C #61 7 4@54 1. -
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS ( I �� aAl�N I V L►'�
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST / , �1 1
CROSS ST, l9 `
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
BATH TUB 1.25 MAIL
J
SHOWER 1.25 r`�
CITY k W p TEL. NO. CJ
LAVATORY 1.25 CONTRAC
SINK 1,25 ADDRESS Acl
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR'S COSTATE
UNTY
LAUNDRY TUB 1.25 —::::.[REGISTRATION N
CLOTHES WASHER 1.25 DISTRI T NO. GROUP ZONE P ESSED BY
WATER HEATER 1.50 19 --L7fl
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GAS SYSTEM OUTLETS 1'50 INDUSTRIAL p,
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD f V
eX Air I, OR
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APPROVALS DATE, INSPECTO 'S SIGNAT REA
PERMIT 5 E 00 UNDER SLAB WORK 6 �NQ
ROUGH PLUMBING
TOTAL FEE GAS PIPING `�� f� e� °v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR fTt1AT 1 AM THE LEGAL WNER OF,AND INTE D TO
RESIDE IN,THEA DIVE RESIDEN IAL PRO RT �C�9M UTILITY CO. NOTIFIED
SIGNATUREezt '
OF PERMITTEE P
FINAL
LIDATION ROBERT A. WOOD
CK M o CASH SUPERVISING MECHANICAL ENG'R
1 3 4,I. PAY' 7 5" D 7.2 5 N