HomeMy Public PortalAbout6233 KAUFFMAN AVE_Plumbing__ 76A667-CE617 3-59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING
A. LAMIE, County Engineer AD
CASSATT D. GRIFFIN, Supt. ^
of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
- BATH TOB ADDRESS
SHOWER CITY Noff
LAVATORY t
CONTRACTOR ti
SINS ADDRESS
DISHWASHER CITY D ti TEL. NO. FA
/
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 7110 COUNTY
CLOTHES WASHER DIST R CT NO. GROUP ONE PJ 6 ESSEDt 1
WATER HEATER — J
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
ES-1 Ah-r
0 OR PER ITEM
IXTURE $ I O p
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ •2 00 UNDER SLAB WORK
TOTALFEE
ROUGH PLUMBING 1J
GAS PIPING ..
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ,! J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGzel
PLUMBING. HOT WATER HEATER
A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED S A GELES COUNTY AND STATE OF
CALIFORNIA OR THAT H LEGAL OWNER OF THE ABOVE GAS TEST 9 B
DESCRIBED RESIDENT ROP UTILITY CO NOTIFIED 3
SIGNATURE _ EM A-
OF PERM17
1
OF VALIDATION ROBERT A. WOOD,
Ca: ®.O. CASH SUPERVISING MECHANICAL ENG'R
U 3 '7 5 r" .OCT 5 A .0 -