HomeMy Public PortalAbout9553 GARIBALDI AVE_Plumbing__'D"- 710-EG APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF NUI DINQ M SAFETY
D"-rW- t of C-m:tr EU-ko~
of Los ■wol" NUILDING
JOHN A. LAMBIE, CouN G-INEMt ADDRESS
CAASATT D. GRIFFINS SUr"F OF BUILDINo �-f+
LOCALITY
FOR APPIJCANT TO FILL IN EEST
CTST.
OV,FNIER DISTRICT N O r ZONS aApT roR IUrICTIo■
AbDRRSO
INDUSTRIAL
crry C, T NO., WASYE APPROVAL
PLU ER HItSPECTION RECORD
ADDRIESS 114 79 k;
CITY NO_
LICENSE NO.
Numawt r"xQFFDtruRKO ru
WATI✓[RCLO,EET (TOI ) $1.00
BATH TUB 1.00
SHOWKK 01.0
LAVATORY (WASH BASIN) q1.00
KITCHEN SINK qI.oO
DISHWASHER 41.00
LAUNDRY TUB OR TRAY 1p 1.00
CLOTHILS WASHER 1.00
WA HEATER 1.00
GALS SY&T[N 1.GO
APPROVALS
DATE INSPECTOA'S SIGNATURE
UNDER WORK
PERMIT 0 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 6 a"
I HEREBY ACI(IIOW"D" THAT I HAVE,READ THIS APPLICATIONAND HOT WATR HEATER
AIT-H ALL COUNTY THAT HORDINA14CF.0E ABOVE 13 CNDAASTATE LAWSCT AND ECOMPLY TO a
REGULAT
NG
PLUMPING. PLlJMl31NaFIXYUR1iiI
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/ T'
QR GAS TES
LICEIISED AS REQUIRED BY ICS R
GgLF9 CQUNTT BIND STATE
CALIFORNIA OR THAT I All THELEGAL ONN THE ABOVE UTIL.ITYCO.NOTIFIED
DESCRIBED RESIDENTIAL P TY. .
OF PERMITS-EE FI NkLJ
JOHN A. LAMB1E. COUNTY ENGINISRR VA MATION ROBERT A.WOOD, CHIVY PL.Bq, INSP[CTQR
X.G. CAIR
6623V, KRR29 3 2.00