HomeMy Public PortalAbout9953 GARIBALDI AVE_Plumbing__I -
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
PERMIT
FOR APPLICANT TO FILL IN O RI J]. R UP I I 27,:�— ` .
PLUMBER-v, , 0 R,q READY FOR '
RECEIVED.BY DATE/ISSUED
p FIRST INSPECTION
ADDRESS q10 S 6. G - �C F )'r— ® y / F (/��, j� h
CITY 1\ TEL NO. �' �'I►Il ADDRESS r�� V
COUNTY SL
PL G
LICENSE NO. EXPIRES
NEAREST �/' V
G
PERMIT FEES CROSS ST. W G►
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 M ADDRESS _
BATHTUB Q 0.50
CITY TEL No.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 $Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 - AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVr VALID LOS
LAUNDRY TUB O TRAY Q 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPER DESCRIBED ABOVE.
BAB SYSTEM OUTLETS Q 0.50 O'f/ s
1,
SIGNATURE OF j.. _ '
WATER HEATER Q 0.50 PERMITTE
SLOP SINK Q 0.50 IN PtCTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.50 ---
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q 0.50
URINAL Q 0.50
Q
HOUSE SEWER Q 0.50 'S - POT 5 rl Z
MISCELLANEOUS Na E3
Q'
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
l ,
OAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . . 1.130 BAS TEST f"
UTILITY CO.NOTIFIED j.
TOTAL FEE >i
FINAL
761667 DBS#k 17 10/52