HomeMy Public PortalAbout5752 CAMELLIA AVE_Plumbing__ 76A667-CE#617 4-64
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRE
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JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN .NUMBER FIXTURE OR ITEM EACH FEEWATER CLOSET 31.25 BATH TUB 1.25
SHOWER 1,25 , CITY TEL. NO.
LAVATORY 1.25 i CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE O
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO_ GRQU.P ZONE SSgo BY
WATER HEATER 1.50 ? (�
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GAS SYSTEM 1.50 INDUSTRIAL OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
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APPROVALS DATE INSPECTOR'S SIGNAWURE
PERMIT $ 2 ]OF
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COGAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULHOT WATER HEATERPLUMBING.IHEREBYCERTIFY THAT I AM PROPERLY REGISTERED ANPLUMBING FIXTURESLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATGAS TEST
CALIFORNIA OR THAT I M THE LEGAL OWNER OF,AND INTENRESIDE IN, THE ABOVE C IBED ESIDENTIAL PERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VALIDATI OBERT A. WOOD
CK. m.6. CASH
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