City of Los Angeles
Curb Painting Permits
CITY OF LOS ANGELES
DEPARTMENT OF PUBLIC WORKS
BUREAU OF STREET SERVICES
INVESTIGATION AND ENFORCEMENT DIVISION


1149 S. Broadway Street 3rd Floor,
Los Angeles, CA 90015
(213) 847-6000


PERMIT NO.

This permit is non-transferable, and expires on December 31st of the current year.
A copy of this permit must be in the possession of the person(s) performing the work, and presented for inspection upon demand.

PERMITTEE:                              (*) are the requirements to be filled out!!!

  *    *    *   
  (First name)   (Last name)   (Phone Number)  
 
  *  *  * 
  (Address) (City) (State) (Zip)

I hereby certify that:
(1) The information provided above is true and correct;
(2) I have read and will comply with requirements contained in Section 62.96 of the Los Angeles Municipal Code and the Board of Public Works Rules and Regulations pertaining to the painting of house numbers on public curbs;
(3) A policy of public liability insurance and a surety bond covering activities performed under this permit is in force.

(Type in your name and date to verify your agreement to the statements above.)

*  * 
(Permittee Signature) (Date: mm/dd/yy)



Payment Method: * 

Comments: (optional)