HomeMy Public PortalAbout6150 KAUFFMAN AVE_Plumbing__ 76AC67 17 5-50 �k APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR-V.-T NO. GROUP Z NE PERMIT NO.
° 1
PLUMBERM— C. NOTTINGHAM CO. RECEIVED BY R EA Y FOR DATE ISSUED
1 R , F ST S➢ C 1
ADDRESS 123 No. C,loverly Ave.
CITY TEMPLE CITTiL, CALIF. ADD EISS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O.50 I s I ADDRESS
I BATH TUB @ 0.501 I CITY TEL. NO.
SHOWER @ 0.50 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.501 1 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM--OUTLETS @ 0.50 I SIGNATURE OF
WATER HEATER @ 0.501 I PERMITTEE
SLOP SINK OR 0.501 1 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 I�
DISHWASHER @ 0.50I
DRINKING FOUNTAIN
URINAL @ 0.501 I ..1
I HOUSE SEWER @ 0.501 1
Q
MISCELLANEOUS I
I I
O
� I �
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL@ I.0OCESSPOOL
I
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( @ 1.001 I SEWER
PERMIT . . 1.00 GAS TEST
. . . . . . . . . .
UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL
II