HomeMy Public PortalAbout8802 GARIBALDI AVE_Plumbing__ 76A667-CE4817 6-66
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Q /
BUILDING AND SAFETY DIVISION ADDRESS (J /�� c' A�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
C,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 2-3 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 Zd CITY TEL. NO.
LAVATORY 1.2S Z - CONTRACTOR W
/ SINS 1.25 I l ADDRESS
DISHWASHER 1.25 CITY Cr' ,�, TEL. NO 'n
STATELIC
/s CLASS �- '��
LAUNDRY TUB 1.25 LICENSE NO,
CLOTHES WASHER 1.2S % Z DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER J
1.50 J,-Cr 1 -V- 77-2�
TRIAL CL
GAS SYSTEM OUTLETS 1'� �� WASTE APPROVAL O
OUTLETS OVER S PER SYSTEM .30 V
INSPECTION RECORD
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III W
CL
y Z
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK }
ROUGH PLUMBING 7
TOTAL FEE IZ Z.,J GAS PIPING
1 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 HEATERr
PLUMBING. 1 "f
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDLIN, HE ABO DESCRIBED RESIDENTIAL PROPERTY. UTiLITY CO. NOTIFIED
SIGNEOF ITTE FINAL
- VALIDATION
CASH
2 2 3 9- MAY 3 5 D 1 225-
Z/41 zz�^