HomeMy Public PortalAbout9811 GARIBALDI AVE_Plumbing__F6A667-7CE817 12/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND S�nTY RIVISION BUILDING
JOHN A. LAMBIE, ouNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
i
CONTRACTOR
LAVATORY
SINK ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE El
LAUNDRY TUB REGISTRATION O. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GR ZONE PROCESSED BY
r 1 WATER HEATER J/1/ '
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
U
a
O
F
U
W
a
z
R ITEM
OR FIXTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL `S ,
®r VALIDATIS ROBERT A. WOOD,
CK. r.0. cesx SUPERVISING MECHANICAL ENG'R
J
76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING —�
JOHN A. LAMBIE, County Eagiaeer ADDRESS C/ f-/
CASSATT D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST /+ ' J
L
CROSS ST. G G'' U•�IV
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET k.
MAIL BATH TUB ADDRESS
SHOWER CITY rTXTEL. NO. T(d
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE L]
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICy NO. GROUP ZONE PROCESSED B
WATER HEATER ND F t I
I —�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
OR FIXTURE $ 3 r
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 'L00 ROUGH PLUMBING
TOTAL FEE , � GAS PIPING
4HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ASTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
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 Q& PERTY. //"�
SIGNATURE `��� t' FINAL
OF PERMITTEE /i ` � �/�i�'�L.l
ROBERT A.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.O. D.-
C., ,. 5