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HomeMy Public PortalAbout4919 CAMELLIA AVE_Plumbing__ 76A667 (CE-817) - 5/73 _ Q APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE 7'0 : BUILDING .ADDRESS r4 . HARVEY T. BRANDY, COUNTY ENGINEER LOCALITYH, FOR APPLICANT TO FILL IN (POINT OR TYPE) NEARE_ CEASES T. NUMBER FIXTURE OR ITEM p FEE ' WATER CLOSET 1,7MAIL 5 OWNER BATH TUB 1,75 ADDRESS SHOWER 1.75 CITYT 'TEL. Nol,JSs3-79 ,o / LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS IF DISHWASHER1.75 " CITY • TELAO.J J >_ n4 - CLOTHES WASHER 1.75 STATE . V LIC LICENSE?NO. CLASS.' SWIMMING POOL RECEPTOR 1.75 DIS TNO.ej GROUP 20 RO ESS B"YY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL - d GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U OUTLETS OVER ' ,L > L,/ /� ` 5 PER SYSTEM .30 N.7M4!5,0 S" <S,�/•5' ,bit'T7 O U D_ • y Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 Do TOTAL FEE APPROVALS DATE INs vccro R's sIr.NArvgL Plan check applicant UNDER SLAB WORK Name/',j11j dQd G iy ROUGH PLUMBING Address 7lfJ l �Y rri/J© �f- GAS PIPING Tel. No. GAS VENT Cj,y% - T "'1yoU HOT WATER HEATER HEREBY CKNOWLEDGE THA I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES /�� �•', �� WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING PLUMBING. /l GAS TEST IT HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED SAND/OR UTILITY CO. NOTIFIED LICENSED AS REDDI RED BY LO 5 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I' M THE LEGAL OWNER OF. AND INTEND TO 6IVC PA 1' ez-4-7e9Y! ff-.-.i RESIDE IN THE ABOVE DRIBED R IOENTIAL qOP FINAL SIGNATURE (/ OF PERMITL PERMIT VALIDATION cK�. � �M.o. cases PLAN CHECK VALIDATION CK. M.O. CASK Ax6