HomeMy Public PortalAbout9160 GARIBALDI AVE_Plumbing__ 78A887-C EA 417 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
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FOR APPLICANT TO FILL IN 2
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 11.25 O MAIL
BATH TUB 1.25 S` ADDRESS
f SHOWER 1.25 cm TEL. NO.
LAVATORY 1.25 CONTRACTOR a
SINK 1.2S ADDRESS Zr
DISHWASHER 1.25 CITY TEL. NO. 3—C)0
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. I COUNTY ❑
CLOTHES WASHER 1.25
:2-5 DII HiQ "CESSED BY
WATER HEATER 1.50 J� r `(,( ✓✓✓ V
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GAS SYSTEM OUTLETS 1.50 SD INDUSTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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/ APPROVALS PATE INSPECTOR'S SIGNV_R�Rlk
PERMIT $ 2 00 UNDER SLAB WORK
/ ROUGH PLUMBING
TOTAL FEE V 5 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE RIBED ESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED '
SIGNATURE
OF PERMITTEE
FINAL -. ---
ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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