HomeMy Public PortalAbout9427 GARIBALDI AVE_Plumbing__ �41A@67
1332-17 3-a5 APPLICATION FORPLUMBING PERMIT 1
DIVISION OF WELDING AND SAFETY
Dfpmlmeai of Conaty Engt>ser
County of Los Angeles M U ILD I N G
WM.J. FOX,COUNTY ENGINFL" ADDRESS 11
CAs&ATT D.GRIFFIN, Bin•T of AULLDrxa
LOCALITY
FOR APPLICANT TO FML IN N RElZT
CROsa ST.
OWNER DISTRICT GFFOU � nunT rod IMIr[c-rlor
MAIL
ADDREBD �/ -
O INDUSTRIAL
CITY TISL. NO. /
PLUMBER PROVAT�T�T7L+nSPECTI�t
INON BECOBD
ADDRESS L �. y
CITY TEL.NO. /1�"
LICENSE NO.
NUMB[R TYrR Or Fik-rUR[OR ITEM ir"
WATER CLOSET (TOILET). s
BATH TU15 '
SHOWER
A21LAVATORY (WASH BASIN) �.
KITCHEN SINK L �/C �!V �� "LI51 r�flc
DISHWASHER '
I LAUNDRY TUB OR TRAY
i CLOTH FS WASHER ,
I
6 Al
I
/J
TOTA O. 0.60 APPBQVALS .
GAS SYSTEM OUTLETS 1 00 6 DATE INSPECTOR'S SIGNATURE
WIDER SLAM WORK
' WATER HEATER 1.00
ROUGH PLUMBING
PERMIT S 9 00
GAS PIPING
TOTAL FEE GAS VENT
1'HOEBY ACKNOWLEDGIf THAT f HAVE READ THIS APPLICAYION HOT WATER HEATER
AND STATE THAT THE
ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUYBIN
1 HERE Y CERTIFY THAT 1 AY PROPERLY REGISTERED AND/OR GAB T �2
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OF . UTILITY GO.
CALIFORNIA OR THAT 1 AY TME LEGAL OWNER OF THE ABOVE NOTIFIED
DESCRIBED RESIDENT! PROP TY.
SIGNATURE
OF PERMITTEE F1 L -L
WILLIAM J. FOX, NTY ENGIN vAI.IDA ON R.A WOOD, CHIKF PLza.INir¢cmi
ACO? a :5 U; SEP 12. . 3 11 ,00 �, .