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Home My Public Portal About9233 GARIBALDI AVE_Plumbing__ 76A607-CE617 10-60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �� • bal l WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Lp FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER � Z WATER CLOSET Z S-G BATH TUB z S- ADDRESS Z SHOWER CITY -/ TEL.NO. / Z S' LAVATORY2 SQ CONTRACTOR / SINS ADDRESS DISHWASHER CITY 1010(TEL. NO05W/ e CONTRACTLAUNDRY TUB REGIATION STRNO. 12 7e S-C, COUNTY CLOTHES WASHER / Z S- DISTRICT NO. GROUP ZONE PR SEED BY / WATER HEATER i 5 C © �� g yl� GAS SYSTEM !r(,1 W�INDUSTRIAL p�ROVJIL >- INSPECTION RECORD D- O V i7 00 _ ITt CL U) z $1.00 PER ITEM ��C OR FIXTURE $ APPROVALS IATE INSPECTOR'S SIGNATURE i PERMIT $ 1 2100 UNDER SLAB WORK ,+ TOTAL FEE � ROUGH PLUMBING /1 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I 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 THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE I OF PERMITTE FINAL VALIDATION ROBERT A. WOOD ( 7-/ j M.O. CASH SUPERVISING MECHANICAL ENG'R 1 5.0 0