HomeMy Public PortalAbout6019 CAMELLIA AVE_Plumbing__ 76A667-CE817-11-57
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS i
CASSATT D. GRIFFIN, Sup't of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
MAIL
BATH TUB ADDRESS i
SHOWER CITY ' TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS `
DISHWASHER CITY EL, NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
�J @ $1.00 PER
UREE $ DATE INSPECTOR'S SIGNATURE
OR r�J UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED -
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE r
OFPERMITTE ' - 9 FINAL 54
ROBERTA.WOOD.
@F VALIDATION- SUPERVISING MECHANICAL ENG'R
CK. M.0. ASH