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HomeMy Public PortalAbout10685 ARROWOOD ST_Plumbing_12/27/1977_water heater 76A667A ICE 8178)- 11/76 Ct✓Z 6-� APPLICATION FOR PLUMBING PER MIT Vn FOR FIMAI. FrI■A� BUILDING AND SAFETY DIVISION �4 FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY NEAREST 7 BATH TUB CROSS ST, (e v SHOWER OWNER LAVATORY MAIL ADDRESS r C— SINK CITY - G / TEL.NOC DISHWASHER CONTRACTORPACIFIC INSTALLERS CLOTHES WASHER ADDRESS E. GRAND AVE. SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY T .ALi F. STATELIC. WATER HEATER LICENSE NO.-1,')11,429,1PCLASS GAS SYSTEM OUTLETS DISTRI,C©OO. GROUP ZONEEPROS- ED BY OUTLETS OVER �� 5 PER SYSTEM INDUSTRIAL CL WASTE APPROVAL V INSPECTION RECORD u 09O VF� W IL Vl Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING L Tel.No. GAS PIPING EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES E LAWS REGULATING PLUMBING. HOT WATER HEATER EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST NER OF,AND INTEND TO RESIDE IN THE ABOVE ESCRIBED RESIDENTIAL. UTILITY CO.NOTIFIED REMITTEE I. FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 J 7.5vm ©5 I I