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HomeMy Public PortalAbout9831 GARIBALDI AVE_Plumbing__ r. 11 76A667-CE817 12/59 � - , APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY 12IVISION BUILDING JOHN A. LAMBIE, COUNTY NGINEER ADDRESS WILLIAM A.A. JENSEN, SUP'T OF BUILDING 6 1� LOCALITY FOR APPLICANT TO FILL IN NEAREST. 0 NUMBER FIXTURE OR ITEM OWNER �• �i,U r}N e it.T T WATER CLOSET MAIL BATH TUB ADDRESS tf t}}� _ SHOWER CITY - 1 c `j TEL. NO. r LAVATORY CONTRALTO SINS ADDRESS Z. DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ r CLOTHES WASHER DISTRICT NO. G� ? P ZONE ES D BY WATER HEATER ) ' o• L/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD y, a 0 U L/? 0 a @ PER ITEM OR /'� OR FIXTURE $ c� �`' APPROVALS DATE INSPECTOR'S SIGNATURE PERMITUNDER SLAB WORK TOTAL FEE 10001) ROUGH PLUMBING $ 2 © % GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIALqROPER UTILITY CO.NOTIFIED i SIGNATURE OF PERMITTEE— ® - 'C'u _ FINAL J ' OF VALIDATION ROBERT A. WOOD, CK. ..0. (�//C`CnsH SUPERVISING MECHANICAL ENG'R DEPARTMENT OF COUNTY ENGINEER PLUMBING I DIVISION OF BUILDING AND SAFETY ;i x PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS- FOR APPLICANT TO FILL IN LOCALITY 77, e"i BUILDING NEAREST ADDRESS ` / CROSS ST. �P �r DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY PDLL C fes/ —12 3 NEAREST / v _ /� � �U` CROSS ST. L:YJ v RECEIVED BY Ready for Inspection /DAATE 18UED OWNER MAILINDUSTRI AL ADDRESS // WASTE APPROVAL �'r�r GA', C•,f�/B/.f'[d/ CITY j/SJy,QL�3 (/774 TEL.NO.e&/4 -9610 INSPECTION RECORD 1 PLUMBER �j9j ,2eMi3/.U4 �t ADDRESS -aK ->'.36 CITY7,QhoGa TEL.NO. -S'. / / LICENSE NO. ! ❑STATE XOUNTY J PERMIT FEES z 'tiUMBER TYPE OF FIXTURE OR ITEM FEE ur WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 l LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 ) SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..--:Sf----OUTLETS @ 1.00 I WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK _ PERMIT $ 1 00 ROUGH PLUMBING t + TOTAL FEE GAS PIPING IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �� �� •........... OF PERMITTE ------=-..///............� - -•-• ----------------•------------- FINAL 76A667 DBS 17 1/53