HomeMy Public PortalAbout8724 GARIBALDI AVE_Plumbing__ 76AGa7 -CE#817 12-64 1701
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY tlN
8724 Garibaldi
BUILDING AND SAFETY DsuILDING
JOHN A. LAMBIE, COUNTY EADDRESS
COLEMAN W. JENKINS, SUPT OF LOCALITY
FOR APPLICANT TO FILLNEARESTcaoss sr. xNUMBER FIXTURE OR ITEM OWNERWATER CLOSET MAILBATH TUB ADDRESSCITY TEL. NO.
SHOWER
LAVATORY 1.25 CONTRACTOR rt�i�.t`i lt4tsl otlQlj�-WK
SING 1,25 ADDRESS ow"�,�, t B10.
DISHWASHER 1.25 CITY to$ 01ps TEL. NO.
CONTRACTOR'S -131839 781 COUNTY
LAUNDRY TUB 1.25 REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
50 INDUSTRIAL
GAS SYSTEM OUTLETS 1. WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM •30 INSPECTION RECORD d
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APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00
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ROUGH PLUMBING
TOTAL FEE 50 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 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 DESCRIBED RESITIA{tQROa' Y. UTILITY CO.NOTIFIED
SIGNATURE 1ti„r"`"~tel
OF PERMITTEE ��
FINAL
VALIDATION ROBERT A. WOOD
4CK ; M.0. CASH j SUPERVISING MECHANICAL ENG'R
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