HomeMy Public PortalAbout6036 CAMELLIA AVE_Plumbing__ 76A667-CER617 6-66
APPLICATION FOR PLUMB NG PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING `
JOHN A. LAMBIE. COUNTY ENGINEER ADI" �d 3
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN T
CRO
NUMBER FIVURE OR ITEM EACH FEE
OWMER
WATER CLOSET Sim MAIL
BATH TUB Im ADDBFES
ZL
SHOWER Im Cm no.
LAVATORY Im
Snaim ADD r
DMHWARHM Ili carrATE LIC
G
LAUNDRT TUB ISS SLICENSE NC).,/,fCLASS
CLOTHES WASHER im DISTRICTNO Z07 P Y
WATER HEATER
GAS SYSTEM OUTLETS I ASTE OVAL 0
O OVER 6 PER m IxSpECTIox RECORD V
Dr
O
D.
N
Z
APPROVALS DATE INSPECTOR•■EIDNATURE
PERMIT : 2 pp UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HERBY ACKNOWL[D<W THAT I HAVE READ THIS APPUCATION
AND STATE THAT THE AI.OVK 10 CORISLCT AND AGREE TO COMPLY GAS VENT ✓
WrrH ALL COUNY ORDINANCES RE
S AND STATE LAWS SULATING HOT WATER HEATER
PLUMBTR
ING.
I HERESY CXRTIFY THAT I AM PROPERLY REGISTERED AN DIOR PLUMBING FIXTURES `
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ASOV[DEicRIBED RUIDE ROPERrr. UTILITY CO. NOTIFIED
W GNATURE
OF PKRMI
FINAL
ATION
O. CASH
I
LALo 8 7 1 1 JAN 11 5 D 3,50- q
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