HomeMy Public PortalAbout5948-5950 CAMELLIA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGIN ER P L U M B I N G I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGIU, 9 BUILDING
WILLIAM J. FOX, COUNTY ENOIN[CR ADDRESS l 7
APP ICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS ,v a`'�� 1; I CROSS ST.
DISTRIOT NO. GROUP I ZONE PERMIT NO.
LOCALITY '' _ i- h1�_
NEAREST
CROSS 8T. RECEIVED BY Raaf for IuMdie■ DATE ISSUED
OWNER INDUSTRIAL
MAIL WASTE APPROVAL
ADDRESS
INSPECTION RECORD
CITY ti' ti ! TEL NO.
PLUMBER ^ 2-
ADDRE88
f
CITY TEL NO.
AT
LICENSE NO. 'o COUNTY J
PERMIT FEES z
z
4umn1cR TYri Or rlxTuwr Opt IT[M F[[ - O
WATER CLOSET(TOILET) • 0-10 >t
O
BATH TUB • 0-m
SHOWER @ om
LAVATORY (WASH BASIN) em
KITCHEN SINK • 9.90
LAUNDRY TUB OE TRAY • 0.90
SLOPSINK • 0.80
FLOOR SINK • 0-m
FLOOR DRAIN • 0.60
DISHWASHER • 'x•!10
DRINKING FOUNTAIN • CEO
URINAL • 0-80
GAS SYSTEM. OUTLETS • I-00
WATER HEATER • 1.90
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'if1GMATURE
UNDER SLAB WORK
PERMIT ; I 00 ROUGH PLUMBING
TOTAL FEE 0 0 BAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS V"
CAT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED
AHD/OR LICENSED AS REQ IR D BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORN AT 1 AM THE LEGAL OWN-
ER OF THE ABOVE,,D RI D figIDENTIAL, PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE -7fIrA r
OF PERMITTE FINAL S
TGAHT nBS IT rd b 12-53