HomeMy Public PortalAbout9217 GARIBALDI AVE_Plumbing__r
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX. County Engineer
DISTRICT-NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FIL6,IN
PLUMBE - L-' RECEIV DBY READY FOR DAT 189UED
loll '00,
`,1 FIRST INSPECTION � ,..,
ADDRESS X �i
CITY TEL
® ILDINEI
"k ADDRESB ` -11-2 �I
%� N —
COUNTY � LOCALITY '
LICENSE NO. EXPIRES o
NEAREST 01
PERMIT FEES CROSS ST. L7:
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _
WATER CLOSET(TOILET) 0.013 # (,! ADDRESB �..tt�t,•�
BATH TUB Q 0150 _ CITY TEL. NO.
SHOWER .50
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 513 ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AQREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
�. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY D. 0 ANQELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
Of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE:
GAS SYSTEM..?—OUTLETS B D. O
WATER HEATER O. O SIGNATURE
RMiTTEE
t
SLOP SINK o D. p INSPECTION RECORD
FLOOR SINK 0 50
FLOOR DRAIN O. O -
DISHWASHER O SO
DRINKING FOUNTAIN O 50
URINAL
HOUSE SEWER D.SO Z
MISCELLANEOUS V`
Ir
0
APPROVALS
DATE I1lBPECTOR•9 NAMF.
ROUGH PLUMBING
GAS PIPING
QAS VENT
CESSPOOL 1.D0 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
q it
PERMIT l.pG ons TEST
TOTAL FEE
UTILITY CO.NOTIFIED
S �'
FINAL � r
76A667 DBS#k 17 6-52