HomeMy Public PortalAbout10721 ARROWOOD ST_Plumbing__ J '
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE PERMIT NO. �6
FOR APPLICANT TO FILL IN
PLUMBER VALLEY BOULEVARD 211impime rr, RECEIVED BY READY FOR DATE ISSUED
/ v��� FIRST INSPECTION
ADDRESS 8300 EAST VALLEY RI vn s
BUILDING le
RDSEMi=AD TEL No.AT J_'J7i n ADDRESS
cITY _
COUNTY f� M LOCALITY
LICENSE NO. 7JEXPIRES -=fin_
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS ---
BATH
BATH TUB 0.50 CITY TEL, No.
.SHOWER l$i 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @1 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY 13RDINANCES
KITCHEN SINK - Cry 0.50 AND STATE LAWS REGULATING PLUMBING.
7 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.59 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS 8Y8TE OUTLETS C O.SO '
SIGNATURE OF
WATER HEATER 0 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL O.SO 'J
Q
HOUSE SEWER C� 13.50 .Z
MISCELLANEOUS
Q,
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBINGo��
GAS PIPING a•'G"G, a_ ��
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (L 1.00 SEWER
PERMIT 1.013 GAS TEST _
UTILITY c0.NOTIFIED A_tfr4 '!0
TOTAL FEE FINAL
76A667 DBS##17 6-52