HomeMy Public PortalAbout5945 CAMELLIA AVE_Plumbing__ D.S.S. 17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
R Y FOR
HEATER CESSPOOL — SEPTIC TANK RECEIVED BY READDATE I86UED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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E NAME ADDRESS �' ,i'' i"1..
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ADDRESS LOCALITY
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IL CITY TEL.No. CROSS ST.
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COUNTY
CERT.No. EXPIRES W NAME
LOCATION OF SEPTIC TANK OR CESSPOOLZ MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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-i OWNER
CORRECTIONS
SOUTH a
d
DESCRIPTION OF WORK z
BATH TUB _FURNACE ~
SHOWER DISHWASHER
0
LAVATORY REFRIGERATOR
KITCHEN SINK —WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
—. WATER HEATER —DENTAL LAVATORY ROUGH PLUMBING I '-
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES
SEPTIC TANK
CESo POOI SEPTIC TANK SEWER
1 UTILITY CO.NOTIFIED
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