HomeMy Public PortalAbout5002 CAMELLIA AVE_Plumbing__ yeAD&ARTMINT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELESPLUMBING I
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL` IN' DISTRICT IVO. GROLIP I ZONE
PERMIT NO.
PLUMBER T_ �����Q A)a RECCIVIED•�"'"'BY READY FOR DATE ISSU1
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III, / ��ya FIRST INSPECTION
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CITY {.I Q TEL. NO.
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COUNTY e .I •a LOCALITY
LICENSE NO. EXPIRES N
NEAREST
PERMIT FEES caoss sr. lf,,s A)
NUMB.. I TYPE OF FIXTURE OR ITEIA FEE OWNER 1!1A A) L q
MAIL
CLOSET (TOILET) @ O.SOS ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
QCs SHOWER @ O.SO IHEREBY ACKNOWLEDGE THAT I. HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 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.
rI CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
I LAUNDRY TUB OR TRAY @ 0.501_ ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIB ABOVE.
GAS SYSTEM OUTLETS @0.50 SIGNATURE OF
WATER HEATE @ 0.501 PERMITTEE
SLOPSINK @ 0.501 INSPECTIN RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.501
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.501 T a J^ce,
I URINAL @ 0.501
1 HOU5ESEWER @ 0.501 Q
Z
MISCELLANEOUS 11
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APPROVALS
- DATE INSP TOR'S NAME
ROUGH PLUMBING 1 R
GAS PIPING �Lf�
GAS VENT /G
CESSPOOL @ 1.00 F CESSPOOL
SEPTIC TANK: SEPTIC TANK
1 DRAIN ( ) PIT ( ) @ 1.001 SEWER e
PERMIT 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED
I S / I_ v
CJ FINAL