HomeMy Public PortalAbout9253 GARIBALDI AVE_Plumbing__ 76ABB7�E817A-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTNENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CAGSATT D. GRIFFIN, SUPT OF BUILDING LOCA,
FOR APPLICANT TO FILL IN NEAREST
NUMBITEM CROSS
FIXTURE OR ITE .
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WATER cI osET bum
2. ]BATE TUB ADDRESS
SHOWER CITY
LAVATORY CONTRACTOR t001
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DrsswABHEa CITY TEL.No.
LAUNDRT TUB CO R'S' ® STATE
REGffiTRf.TI N N 'r
CLOTHES WASHER
DISTRICT N . GROUP ZONE 11-13Y FOR IIISFSCTIOII
WATER HEATER
GAB SYSTEM MU TEDD L
WASTE APPROVAL
INSPECTION RECORD
APPROVAL$
® $1.00 PER DATE 1 PECTOR'S SIGNATURE
ORFIZTUR£ S UNDER SLAB WORK
ROUGH PLUMEING
PERMIT Si 1100
6A8 PIPING
TOTAL FEE OO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATERR-HKkTER
AND STI�TE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM, PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES TY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT 1 G OW O �ABO
DESCRIBED ROR THA
t
SIGNATURE
Gtr PERM ITTE FINAL
ROBERT A. WOOD,
®+ VALIDATION SUPERVISING MECHANICAL ENG'R
V ■.0. CASH
3 '8 5 3'S . AUG 14 5 A 1 0.0 0