HomeMy Public PortalAbout8838 GARIBALDI AVE_Plumbing__ D.B.S.17 2SM SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GR!f zo E PERMIT NO.
ROUGH FIXTURES COMPLETE O L/
HEATER CESSPOOL I-isRECE V BY READY FOR DATE ISSUE
GAS MISCELLANEOUS TANK FIRST INSPECTION r(�j
I 1 �f
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS
W
ADDRE-SS LOCALITY
NEAREST
IL CITY TEL.NO. CROSS 6'T.
COUNTY
CERT.No. EXPIRES - W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH 0
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK z
BATH TUB FURNACE 0
lY
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER -DENTAL LAVATORY I
iIROUGH PLUMBING 5,
METER GAS SODA FOUNTAIN
OUTL GAS PIPING I r
I
BAS VENT i
CESSPOOL
4
TOTAL NUMBER OF FIXTURES f SEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER I I
UTILITY CO.NOTIFIED {
TOTAL FEE L� f� R
FINAL