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HomeMy Public PortalAbout10657 ARROWOOD ST_Plumbing_11/29/1954_water fixtures, gas system, water heater DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 � f DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ,ADDRESS FOR APP CAl1r1�fT TO FILL IN LOCALITY BUILDING Q 5 /� E? � �„f ry NEAREST ADDRESS Vv 4f CROSS ST. DISTRICT NO. GROUP ONE PERMIT NO. LOCALITY I 1I ,' y NEAREST 46 n CROSS ST. I a L �" 6 LL C IVED BY 'Ready for Inspection DATE ISSUED OWNER `moi r �! .� �s [ � P" MAIL ND STRIAL ADDRESS WASTE APPROVAL CITY p TEL.NO. INSPECTION RECORD PLUMBER11�� ADDRESS 410 ,(f 1 0rei G� L/Y i r rd I r .r.) �Y' �` �y CITY .Ap-r f , F TEL.NO. � �- �-4,0./ STATE LICENSE NO. 'fir OUNTY J PERMIT FEES Q z 4UM9ER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 3 o O p BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK Q 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOPSINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ '0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 1• GAS SYSTEM_...--.:-.--OUTLETS @ 1.00 1 WATER HEATER @ 1.00 f ' MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK p PERMIT ; 1 00 ROUGH PLUMBING TOTAL FEE _ GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER " �I 1-44 41 /' TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES L 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 I AM THE LEGAL OWN- ER OF THE ABOVE. SCRIBED R DENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE ^ OF PERMITTEE--.....- - - SrS� ....................... FINAL , , .E ,td'1E , ,,r" 76A667 DES 17 cd 17-i3