HomeMy Public PortalAbout5806 CAMELLIA AVE_Plumbing__ ,10..0 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Dep-t—at of comma M in—
C-utt7 of TA- A-a-d- BUILDINGV754-?�-
JOHN A,LAMBIE, COUNTY ENGINEER . eD
CASSIATT D. GRIFFIN Qurlr OF BUILDIHO
FOE APPLICANT TO FILL IN 9ARCROSS ITT
OWN l4R OgLtrArt4Z DIO. GROUP ZQ� atAnY ro¢ 1M[r[cTlo■
ADDRESS dam+ e
INDUSTRIAL
TBI. fi7WAaT•E APPROVAL
PLUMBER �/�d N ,� w Acer INSPECTION RECORD
ADDRIUM dir rte•
CITY r TlrL. NO.
LICENSE NO. — r
XUYa[R TYPE OF FIXTURI OR ITOI F"
WATBat CLOSrr (TOILI(T) 1.00
BATH TUB ift.00 O
SH0 1.00 Oa
L-AVATORY (WASH BASIN) 51.00
KITCHEN SINK lol.00
DISHWASHER 41.00
L.AUNDRY TUB OR TRAY 1.00
CLOTHES WASHER G $1.0-0
DO
WATER HEATER 11.00 O
GAS SYSTEM 1.Ob
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER GLAD WORK
PERMIT f 1 00 ROUGH PLUMBING 1
GAS PIPING
TOTAL FEE O G"VENT
I HEREBY ACKNOWLEDGE THAT I HANE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGRRE TO COMPLY HOT W TER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS IiEfiULATIN4
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORXIA OR THAT I 4 THE LEGAL QWXER O THE ABOVE UTILITYCO.NOTIFItm
DESCRIBED RESIDENTI ROPERTY.
SIGNATURE
OF PERMITTE FINAL
.JOHN A. LAMBIE, COUNTY ENGINEERATION ROBERT A.WOOD, CHIEF PDB
LG. IMSPCrOR
c[. X.O. CAIS
M74051-, APR22 3 1 1 .UU n