HomeMy Public PortalAbout9565 GARIBALDI AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT; NO. ROUP Z13NE
FOR APPLICANT TO FILL IN
PLUMBER - );ZECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS -
BUILDING '
CITY TEL No. ADDRESS '
COUNTY - LOCALITY
LICENSE NO. EXPIRES —
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 S ADDRESS
BATH TUB C� 0.50 CITY TEL No.
SHOWER G 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
F 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.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY yCENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY D.ESCRIBED'ABOVE.
SIGNATURE 0.
WATER HEATER 0.50 PERMITTEE "
SLOP SINK 0.50 _ INSPECTION RECORD
FLOOR SINK 0.60
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN (5 0.50
URINAL 0.50 - J
Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS
Q
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING L
GAS PIPING -
GAS VENT . f
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) C61 1.00 SEWER
PERMIT 1.Do GAS TEST l ' 1
TOTAL FEE $
UTILITY CO.NOTIFIED
� �' (�
FINAL
76A667 DBS #17 6-52