HomeMy Public PortalAbout8635 GARIBALDI AVE_Plumbing__ 7GA667-CE0817 10.62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �6 37;L i
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
CITY EL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
r
SING 1.25 ADDRESS ����
DISHWASHER 1.25 CITY ) TEL. N40.
LAUNDRY TUB 1.25 CONTRACTOR'S 3 3 V D COUNTY STATE �❑
REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRO5ESSED BY
WATER HEATER 1.50 It
1.50 INDUSTRIAL d
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
L r 0
U
W
CL
T APPROVALS DATE IN PECTOR'S SI NATURE
PERMIT $ 2 00 UNDER SLAB WORK •
ROUGH PLUMBING
TOTAL FEE (.r-v GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT .:>
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO /
RESIDE IN,THE ABOVE DES IBED RESIDEN IAL PROPERTY. UTILITY CO. NOTIFIED e"�C
SIGNATURE
OF PERMITTEE �'�� ?� t fr _� ✓�'L- _.
FINAL �•-�-,,,A
ALIDATION ROBERT A. WOOD
-�' '
M.O. CASH SUPERVISING MECHANICAL ENG'R
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