HomeMy Public PortalAbout8736 GARIBALDI AVE_Plumbing__ 76A667•C6:E817 9/63
. , - APPLICATION FOR Pli,UMBING PERMIT
LINGTYO LOS ANOF COUNn
Rv>1.DD�a` 8 6 Garibaldi
XNIONF
J I OUNTY NGIN[ER ADD1E�
WILLIAM A. JKM"N, SUPT OF RUILDIN4 LOCALMY
_9an Gabriel
FOR APPLICANT TO FILL IK NEAREST
T.
NUMBER FI RE Oft ITW EACH F[[ OVIAIM mrn +a l[rob8
2 WATa MOM ti m 2-50
1 RATE TOR im 1425 A.DDREEf -
iss Crrr San Gabriel Ts- *o• 286-x.321
2 LAVATORY im 2150 cONT'AcTOR Belvedere Plb . ;44�
1 snot iss 1 a5 ADI)ms. 13350 Ector
DMHWAsIM im crrT Industry TEL. No. 9836
LAIIXIM TtrR 1JLi a"T'"aTIox NO. 179568 ouxrrrCLOTEM WAB= 136 1 2 DIfJTRI NO. GR UP ED ■Y
WATEa Hm= im 1
RAs 9TE2'F.>F[ OIITLETB im 11WAM 50 OmuffrRmAPrmVAL 0
OUMM OVER 6 PER /TSTTx A DI<dP=011 RECORD U
1 • Bar ink 1.25 0
D_
2
APPROVALS DAill IH •L;IONATUPM
PERMIT s Z 00 UNDER BLAB WORK --
ROUGH PLUMBING
TOTAL TEE ] GAB PIPING
I HLRaY ACIOIOWLLDQL THAT 1 HAY[ READ THIS APPLICATION" GAS VENT
AND STAT[ THAT THE ASOYR 15 CQ R1tC1AND AEREI TO COMPLY
WITH ALL COUNTY O/IDINANC'lS Alm STATE LAWS REOULAT1Na HOT WATER HEATER
P LU
I Hxm7 CL1fTIrV THAT I Ail PROPLRLY RLaISTLRED AND/OR PLUMBING FIXTURES
UCKNOLD AS RLQUIRta WY LOS AN6k LLJ. COUNTY AND STATE OF GAB TEST
CALIMORNIA OR THAT 1 AM THL L[SAL[SA_ OWlml OF,AND INTQIa TO
REND[ IN,THE R}SID RES, L UTILITY CO.NOTIFIED
SIGNATURE
OF PERM, PINAL
l K
.IITIbN ROBERT A. WOOD
c+c w.O. CASH SUPERVISING MECHANICAL ENG'R
LA0 4 4 2 0. AUG 6 5 A 1 .625-
f
76A667•CE0817 4-64
" APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
G
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING Y ,
1
FOR APPLICANT TO FILL IN CROST. 41
I
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �)� cVie )4
WATER CLOSET $1.25 MAIL
BATH TUB 1.25
ADDRESS �. Z
CITY 7 Z J TEL. NO:;Zk(,y 3 Z j
SHOWER 1.25
LAVATORY F1.25
t CONTRACTOR �j��
SING ADDRESS
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
J CLOTHES WASHER 1.25
DISTRICT NO. GROUP ZONE P CESSED BY
ol
J WATER HEATER 1.50
CL
GAS SYSTEM OUTLETS 1'� WASA
T I AL PROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
I
W
4.
In
Z
APPROVALS DAT; INSPIEO AE
PERMIT $ 2 00 UNDER SLAB WORK -�.r
ROUGH PLUMBING ,/
4.
TOTAL FEE 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 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,AN 1 ND TO '
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPE v. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
1625-
'5