HomeMy Public PortalAbout9931 / 9227 GARIBALDI AVE_Plumbing__ "^"7,K_*(G s 81711) -4/77
APPLICATION FOR PLUMBING PERMIT
CN
BUILDI AND SArQTY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) AD
'
NUMBER FIXTURE OR ITEM FEE
2 WATa CLOSET b _ LoCALITY Temple City
1 BATH TUB NEAREST
Qb055 5T.
SHOWER OWNER John Sell
2 LAVATORY ADDLRESS E)011t vieta
I SANK cfY Aresdi-a s C8• TEL No.445-2772
DISHWASHER CONTRAc1CRFunk Merrons & Sons P3,br,
CLOTHES WASHER
ADDRESS Skk 3229 N. IAurIee Ave.
SWIMMING POOL RECEFTOR
QTY e, GRIN TEL NO.
LAWN SPRINKI$R SYSTEM
STATE 'LWT' LIC C.% -
WATER HEATER LK:ENSE NO. CLASS
i GAS SYSTEM( OUTLETS DMTR1CT NO. CROUP E Y
IN DIbTRIAL
WASTE APPROVAL CTIO
INSPEN RECORD
Plan check fee MI
PLUMBING PERT ISSUING FEE f
TOTALFff
Plan check appIkant
Norms APPROVALS DATE oU 5NMATUR7
UNDER$LAB WORK
Addn ROUGH PLUMBING
city Tel.No. GAS PIPING
I HWMffY ACKNOWLED0 THAT I RAYS READ THIS NIMJGNI
ATN AND STATE GAS VENT
HE
THAT•TABOVE 6 CORRKCT AND AQRLE TO COYLY WRH ALL COUNTY ORDINANCES
AND STATi urs REcuuTlNa hwYEIN4L HOT WATER HEATER
1 HE"BY cERTrFY THAT I AM PROPIRLY REGIS, iXD/OR LKEMUM AS PLUMBING FIXTURES
Paw VIED BY LOS ANGELES COUNTY AND STAT1 OF CAI FORMA OR THAT I AY THI GAS TEST
LEGAL OWNER OF. Iomm TO MUM IN THE ADOYE DISCIURM RIMMENTW_
p"mm. UTILITY CO.N MF1ED
5nNATTJ RE
R NAL
PLAN(NECK VALIDATION CX NLo. CASH PERMIT VALIDATION ro. CASH
POLICY HOLDER:14' , eO`7�' ,8 5 2r-FO 27 5 0 3 7.5 0
POLICY NUMBER: e» 7-: leY