HomeMy Public PortalAbout10829 ARROWOOD ST_Plumbing__ 76A.667_-C E#81 7 9/63
APPLICATION FOR PLU BING. PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING .AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE,COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR°APPLICANT TO FILL IN NEAREST WA
CROSS ST. '
NUMBER FIXTURE OR ITEM EACH FEE .
�-
WATER CLOSET OWNER
$1.25 J Q MAIL
BATH TUB 1.25 ADDRESS
l CITY L.ENO f 01
SHOWER 1.25 cJ
LAVATORY 1.25 1,50
CONTRACTOR
SINK. 1.25 ADDRESS a
DISHWASHER 1.25 CITY TEL.'NO. 6
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑ 3
CLOTHES WASHER .L25 77_-DISTRICT NO. •GROUP ZONE P ° SSED BY
WATER HEATER 1.50 S�
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GAS SYSTEM. ' OUTLETS- L50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD <J
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APPROVALS DATE INSPFCTOR'SSIGNAyUREPERMIT • $ - 2 - UNDER SLAB WORK .r , ru,01,
ROUGH PLUMTOTAL FEE pGAS PIPING1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIGAS VENTAND STATE THAT THE ABOVE IS .CORRECT AND AGREE TO COMWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATIHOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ PLUMBING FIXTURES° LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE GAS TEST 'Sa v�� _CALIFORNIA 'OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND RESIDE•IN,THE ABOVE DESCRI D RESIDENTIAL PROPERT UTILIT.Y CO. NOTIFIEDSIGNATURE �,OF PERMITTE FINAL to� It,
ROBERT A. WOOD
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