HomeMy Public PortalAbout10831 ARROWOOD ST_Plumbing__ 76A667-CE817-8-58 Temple City C o r lyn
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APPLICATION FOR • PLUMBINPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,:.,•. -..,
BUILDING AND SAFETY DIVISION
BUILDINGSArrowood
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D GRIFFIN,Supt of BuRcUng emp e 1 yLO
'
r
ALITY
FOR APPLICANT TO FILL IN NEAREST Dal evi ew
CROSS ST. .
NUMBER FIXTURE OR ITEM JL OwNgI T,D, Butcher
/WATER CLOSET MAIL
I BATH TUB ADDRESS
F
SHOWER
CITY. TEL. NO.
-
LAVATORY
CONTRACTOR Fontana P1 go Contr.
,t SINS ADDRESS 13329 E C O r St.
DISHWASHER CITY of Industry TEL. NO. ED 77226
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 96496 COUNTY .❑
1 ✓ CLOTHES WASHER F;INDUSTRIAL
N GROU ZONE f SS BY
WATER HEATER
1 GAS SYSTEM ) 1 OVAL -
l I INSPECTION RECORD
/ sa
_ ..
` APPROVALS
7 @ $1.00 PER ITEM OR FIXTURE $ 7°00 DATE IN PE N's SIGNATURE
UNDER SLAB WORK hr,
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE 9 e O GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GASVENT /�- -S�/ t'--t
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER �-�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR eGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT/I)AM THE OWNER 19F THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT16,t PROP IRTY.
w SIGNATURE FINAL
OF PERMITTEE
KA ROBERT A.WOOD. \ '
®F VALIDATION SUPERVISING MECHANICAL ENG'R
M.0. CASH
'itiU .J CJ
3 ttU4' A "�•�^, E Ito
76A667-CE817 359
COUNTY OF"LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Building LOCALITY
i2l 02
FOR APPLICANT TO FILL IN`^ NEAREST
CROSS ST. 1J
NUMBER FIXTURE OR ITEM •1
OWNER v f
WATER CLOSET MAIL
ADDRESS
BATH TUB E
�
SHOWER CITY lC - )P L. NO. 3 2
LAVATORY CONTRACTOR °1
SINS ADDRESS 1
DISHWASHER CITY TEL. NO. U l0 0�P
CONTRACTOR'SQ1 `I STATE
LAUNDRY TUB REGISTRATION NO. 1'U COUNTY El
d CLOTHES. 5MSHER DISTRICT NO. GROUP ZONE P O$ CE.,9 E�D�BY °
WATER'HEATER �2 — /J yy�a , J
° GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
fT
zelxl
Q $1.00 PER-rMd OR FIXTURE I 0 U
$
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 00 UNDER SLAB WORK
TOTAL FEE ��2
()v ROUGH PLUMBING
GAS PIPING
1 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 POR�OPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICy. CALEFORNIA'NSED ASOREQUIRED BY THAT�I AMLO HE N FSGAL OWNER OF THE LES COUNTY AND STATE
GAS TEST �` -,� L
DESCRIBED RESIDENT ALZPR ERTYJ UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
-...6 FINAL
®F VPLUDATIO - ROBERT A. WOOD,
CK. M.0. CASH SUPERVISING MECHANICAL,ENG'R
c � 7072 .. NL�Id
�0 6 5 A —.00
0 M
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