HomeMy Public PortalAbout9503 1/2 GARIBALDI AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
DISTRICT.T NO. GROUP ZON .
FOR APPLICANT TO FILL IN ,
PLUMBERC_— RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 0 -
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BUILDING
CITY C TEL Na. ADDRESS
COUNTY LOCALITY 5�7,
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES _ CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 7ze,y a
MAIL
z —WATER CLOSET(TOILET) 0.50 5 D ADDRESS
BATH TUB Q 0.50 CITY TEL. No.
SHOWER Q 0.50THIS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE 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 0 0.50 -SrZ ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS a 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER a 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50 n�
DRINKING FOUNTAIN 0.50
URINAL 0.50 f) - Q
HOUSE SEWER Z_
MISCELLANEOUS _ -n .^/', E_
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER _
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE Is,
;71
FINAL
76A667 DBS#17 6-52
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