HomeMy Public PortalAbout10663 ARROWOOD ST_Plumbing_7/14/1960_vac breaker 76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION TCONTRA
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM WATER CLOSET BATH TUB TEL. NO.
SHOWER
LAVATORY
SINS ADDRESS
DISHWASHER CITY TEL. N
CONTR TOR STATE'
LAUNDRY TUB REGISTRATION NO. C7 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE I
/�P E S BY
WATER HEATER �✓ ' ✓ I �r`' �
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
w
O
U
a
O
F
o
U
r1a
z
$1.00 PER ITEM
/ OR FIXTURE $ I / SIC APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2�100 UNDER SLAB WORK
TOTAL FEE ,L ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THA I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE AL PROPERTY. UTILITY CO.NOTIFIED
SIGNATOR
OF PE RM
F
®F -VA ATION ROBERT A. WOOD,
0. CASH SUPERVISING MECHANICAL ENG'R
i