HomeMy Public PortalAbout6211 KAUFFMAN AVE_Plumbing__ PLUMBING
• DEPARTMENT OF COUNTY ENGINEER / •
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
/ COUNTY OF LOS ANGELES F�DD
UILDING pp
� ! WILLIAM J. FOX, COUNTY ENGINEER RESS r
FOR APPLICANT TO FILL IN LOCALITY NEAREST
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ADORE SSBUILDI �' j fl 1 �` p F CROSS ST. �J �R-/�
DISTRICT NO. GROUP AZONE 'PERMIT NO...
LOCALITY x /•l"� !_ L —'7 y
NEAREST
CROSS ST. Lp I RECEIVED BYA Ready for Inspection DATE ISSUED
OWNER i r/ 4e. 4�-
MAIL Q4 / INDUSTRIAL W
ADDRES8 ASTE APPROVAL
CITY 4 TEL.NYY OO INSPECTION RECORD
PLUMBER P�D IV-rgR'F_y IRR k 7rn�- Co
ADDRESS
CITY i F1 TEL.NO. 1�0
❑STATE
LICENSE NO. 14 I ❑COUNTY a
PERMIT FEES Q
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NUMBER TYPE OF FIXTURE OR-ITEM FEE - u!
WATER CLOSET(TOILET) @ 0.80 i D
BATH TUB @ 0.80 O
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0 80 $d
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY, @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
•FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM--------------OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 'D GAS PIPING
HEREBY VGAS VENT
CAT ONAND STATE THAT THE ABOVEHISCORR CT AND AGREE HOT WATER HEATER Jf"'L.q L h7V'IGc/
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS /
REGULATING PLUMBING. PLUMBING FIXTURES
THAT I AM
AND/OR LICENSED FY HEREBY CERTIAS REQUIRED BYPROPERLY LOS ANGELES REGISTERED
000NTY GAS TEST /r*�L, [,�' 1
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE / xn// p
OF PERMITTEE------------- _._ L.�...... ......_. - FINAL O�'L�/`7)!L (ytfutrL+4Gf�[.,,(e0'1
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