HomeMy Public PortalAbout9620 GARIBALDI AVE_Plumbing__ 761667
CE 817 8-55
APPLICATION FOR PLUMBING PERMIT 1
B TY DIVISION
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C un o Lo A e es BUILDING I
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CASSATT SUPT No V
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FOR APPLICANT TO FILL IN NEAREST Tr
CROSS ST.
OWNER �� DISTRICT N:0j GROUP ZONE I READY FOR INSPECTION
MAIL
ADDRESS 1
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.� INDUSTRIAL
CITY LE TEL. NO. J WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS 41
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 , 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GASVENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERT .
SOF IGNATURE
PERM TTEE
O R D � J
JO M E NE VALIDATIO4,-- S RVISING ECHANICAL ENG'R
CK. M.O. (\CASH /