HomeMy Public PortalAbout9824 GARIBALDI AVE_Plumbing__ Ems.17 10_30 APPLICATION FOR PLUMBING PERMIT
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DIVISION OF BUILDING AND SAFETY
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Coantt of Lm Anod" BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER AbDREsa
CASSATT D.GRIFFIN,QUr'T or BUILDINg
LOCALITY
FOR APPUj9ANT TO FILI. IN NEAREST
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1NDUBTRIAL
crry M. NO WASTE APPROVAL
PLL)MeHR U u t INSPECTION RECORD
ADDR
CITY TIL NO,
LICENSE NO. I
mumm Jl I TYPE Or FIXTURI OR mKm FQ 40VCQ
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W TER CLOSET (TOILET) a 41.00
BATH TUB $1.00
SHOWIR 1.00
LAVATORY (WASH BAo1N) 1.00
KITCHEN LINK 111.00
i!R-Allr 20 6109 771J-
D1 1.00
LAUNDRY TUB OR TRAY 111.0.0
rLOTH96 WASHIER •1.00
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WATER HEATER 1.00
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APPROVALS f1t
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 00 ROUGH PLUMBING //—/-67,4 6AS PIPING
TOTAL FEE G"VHNT
0.
I HEREBY ACIQIOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WA HEATER
WITH ALL COUNTY ORDINANCES A1(D STATS LAWS REG�ILATIXG
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AN PROPERLY RSGISTERgD AND/OR aAS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AXD STATE OF
CALIFORNIA OR TKAT I GAL OWN OF THE ABOVE UTILITYCO.NOTIFIED
DESC,RIQED RESIDENT OPERTY,
SIGNATURE
OF PERMITTEE FIN T
JOHN A.LAM5IE, COUNTY ENGINEER cIL `(ALIDATI ROBERT A.WOOD, CHIEF PLBG. INBPECTOR
1 8 1 0� CCT2 9 3 .00 F)