HomeMy Public PortalAbout9156 GARIBALDI AVE_Plumbing__r �
D&S-17 10-" APPLICATION FOR PLUMBING PERMIT 1
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DIVISION OF BUILDING AND SAFETY
Dip-b-nt of Co1mtr F-gt—
Colmtr of Lw An"Im 01lILDING
JOHN A. L.AMBIE, COUNTY ENGINN R ADDREBa 91,56 E Garibaldi -e
CAZZATT D,QR 1P71 N,bur IT OF EUI LD I HOI
L CALITY TQmj2lo Olty
FOR APPLICANT TO FILL IN NEARESr
CROSSST
OVMER Wallace & Denton llDIDT�b. ORy ZONE c[ADT FOR IZ/P[CTIO■
� 6208 N Camellia Ave- t S
►ryDUSTRIAL
C t NO WABTHAPPROVAL
PLUMBER Statewide Plumbing Co ENSPECTION.RECORD
ADDRE" 10024 E valley Blvd
cral Monte TV- NO. FQ 0--3717
LICENSE NO. 146266 C-36
NUMBK1 TVrt of FIICTURI ok mEm rQ JJ
2 WATER ET (TOILET) IF1.00 S 7ZC
1 BATH TUB I.00 1 00
SHOWER qI.oO 1 00
LAVATORY (WAGH BASIN) $1.00 2 00 00
KITCHINBINK 41.00 1 00
DISHWASHER 41.00
LAUNDRY TUB OR TRAY 41.0.0
CLOTHES WAaHER fl.00
WAT"HKATIER $1.00
GAS SYST" 1.o0
APPROVAIS
DATE INSPECTOR'$SIGIUTURE
UNDER Ht AB WORK T�
PER]KrTs 1 00 ROUGH PLUYSING Z`
rECT
NG
TOTAL FEE . it OO
1 HEREBY ACOIOWLEDGE THAT I 41AVE READ THIS APPLICATIONER HEATER �I
AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. G PIXTURESI HERXBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE L$GAL OWNER OF THE ABOVEO.NOTIFIED i
gESCRIBED RESIDENTIAL P39PERTY,.
SIGNATURE
OF PFJIMITTEL RINAJ
JOHN A. L.AMBIE, COUNTY FNGINEI<RVALIDATION ROBERT A.WOOD, CHIEF PLeG. INHP[CTOR
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2 .8 3 8,ZR FEB 14 3 1 1 .0 0 Q