HomeMy Public PortalAbout9247 GARIBALDI AVE_Plumbing__ ^•473.ffg APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
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Dep—h-W of C —ty &nqb r
Coant7 of Lo. Angel" Bull riI N D 2 Y r d.
WM.J. FOX, COUNTY ENGINXUR ADDREDB
CASSATT D.Of P
RIP71N.SUPT OF■UILDINA
FOB APPLICANT TO FTU IN NEARErrY ST
OWNER DISTRI NO. GROUP ZbNE ■LADY FOR u[r[CTIO■
MAIL
ADDREBf
INDUSTRIAL
CI TEL.NO. WASTE APPROVAL
PLUMBER INWE=ON EMORD
ADDRESS
CITY - TEL NO. _
LICENWE NO. q13454
HUM[[R M[OF FI)(TLRK OR)TEM FKK
WAT CLOfET (TOILET)
BAT TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
UNDRY TUB OR TRAY
I
CLOTHED "HER _
I
I
TOTAL NO. o.eo O APP$OVALS
DATE INSPECTOR'S SIGNATURE
GAS SY13TEM-1—OUTLETG o 1.00 O
WATER HEATER I 'D UNDER SLAB WORK
PERMIT
ROUGH PLUMBING
f 1 00
_ GAS PIPI NO
TOTAL FSE v OAS VENT
1 HEREBY ACKNbWL`ED4E THAT I HAVE READ THIS APPLICATION HOT WATER HIKATER
AND STATE THAT T.1-1E AASOYE.I CORRE AND AGREE TO COMPLY
WITH ALL COUNTY Of�D 117.1 AND BYATE LAWS REGULATING PLUMBING FIXTURE
PLUMBING.
1 HWBY CYRTIFT---THAT 1 AM PROPERLY REGISTERED AND/OR GASTEST
LICENSED /1S REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 M THE. LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
D CRl-BED RESIDENTIAL TY.
SIGNATURE
OF PERMITTE � Irl L, f ''
WILLIAM J. FOX.Cou EFIGIN[¢R VALIDATION R..A WOOD, CHIfF PUQl. INSriCTOR
6404 AUG 8 3 . 7.00 n