HomeMy Public PortalAbout9616 GARIBALDI AVE_Plumbing__ 76AS07 {E#017 11-e:
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
nU>1 DntG
B INC� �,3F�FETY EpM3ION ADDSEsa `
JO A. I OUNTY NGINEER
WILLIAM A.JQJBEN, SUPT OF IBUILDINO
LO CALITT
FOE APPLICANT TO FILL IN NEAREST
CROW ST �p
NUMBER FIXTURE OR ITEM EACH F[E
OWIM
WATER CLOSET Si25 MAIL
]BATH TUB 1$ ADDRESS
SHOWER 136 CITY
LAVATORY 135 CONTRACTOR
SIN[ im ADDRESS
DISHWASHER 136 STT
LAUNDRY TUB 135 coNTBACYOII STATE B
SEGIIITRATION NO. COUNTY
S
CLOTHES WA136 DI@TRICT NO. GROUP Z NE [D BY
WATER 1.60 f
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WABTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .20 DrSPECnON RECORD }
W
4
UAPPROVALS DATE INSPECTOR'S SIGNATURI
PERMIT i 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE (,AS PIPING
1 H[I®Y ACKNOWLLDQI THAT 1 HAVI RLAD THIS APPLICATION �S VEN�f, /
AND Wrr"/TAT[ THAT THI AIOVI 15 CO RRICT AND AGRQ TO COMPLY .C,r',_
FLUMeINa.ALL couNTr oR❑INANCZS AND STATE uw• RiauunNa HOT WATER HEATER
1 HERZAY CLICf I FY THAT 1 AM F'ROP"LY RIQISTWMD AND/OR PLUMBING FIXTURES
UCSNIm AS REQUIRE EY LOS ANQILIS COUNTY AND STATE OF GAS TEST
CAUrORNIA OR THAT 1 AM THE LKQAL OWNS OF,AHD I ❑ TO
RESIDE IN,THE ADOVE DEiClll*ID RS/I ROFZRT7
UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITT `
FINAL
ALIDATION ROBERT A. D
cK M.O. CASH SUPERVISING MECHANICAL ENG'R
8 1 1 2 DEC 7 5 D 3_50- V