HomeMy Public PortalAbout10656 ARROWOOD ST_Plumbing_7/2/1970_gas system, tub 76 A 667 - CE 817 7-69.`
A.PPLICATD.OIN -FOR -. PLUMBING , PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
:.
BUILDING AND SAFETY DIVISION BUILDING `
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS I
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a172517210-4—
COLEMAN W JENKINS. SUPT. OF BUILDING
LOCALITY
FOR APPLICANT TO FILL INNT PR OR TY
( PE) NEAREST ,
CROSS ST.'
w NUMBER FIXTURE OR'ITEM EACH FEE
OWNER
WATER CLOSET - 1..50 . MAIL
ADDRESS A"o `
BATH TUB 1.50 -
'�$'
SHOWER' . ' 1.So . CITY;-~. LU-.f,, TEL. NO,
LAVATORY - 1.80 CONTRACTOR ,. fJ �C �
SINK '. _ 1.50 ADDRESS. �/ �..4�.,' /0!
DISHWASHER 1.50 - CITY'
.- _ - - STATE LI C -
CLOTHES WASHER `1.50' LibENSE NO. ,9 CLASS
SWIMMING POOL RECEPTOR 1.50 s rr91=777.77 -
DISTRICTNO 'GROUP 1;,�?NE P OCESSED BYLAWN'SPRINkLEWSYSTEM 2.007 �.. .
i�
•" -WATER HEATER. 1:50 ° {NDUSTRIAL
ry) WASTE'APPROVAL
GAS SYSTEM OUTLETS. 3.50 �-/ INSPECTION RECORD' U
OUTLETS.OVER. ,y''. s' .�^ ,„ .O .
5 PER SYSTEM ..30 - 7 "�� /L 7 � f�- �. .I9',dtJ�< AP.- !' o
�rf Lii1:S la� .�.5 �A2/L��-�� Z
L �r�;-r�-�
Plan check fee 25%of above See reverse.
PLUMBING PERMIT ISSUING,FEE S 2 00 ���� �
TOTAL FEES<Yjr
APPROVALS - DATE INSPECTOR'S SIGNATURE
Plan check-:.
.. . .PP L UNDER SLAB.:WORK - -.
' licait
Name - -' - - .ROUGH PLUMBING- -
-: Address - ' PAS PIPING
_ GAS VENT 1.
City.
Tel-No. HOT WATER,.HEATER "
I ,HEREBY ACKNOWLEDGE THAT I HAVE;.READ THIS APPLICATION
AND'STATE. THAT'THE ABOVE' IS CORRECT AN D,AGREE TO COMPLY PLUMBING FIXTURES.
WITH ALL COUNTY ORDINANCES -AND STATE LAWS REGULATING GAS TEST -
PLUMBING.
'I HEREBY -CERTIFY THAT I AM PROPERLY REGISTERED AND/OR : 'UTILITY CO�NOTIFIED'-
LICENSED AS REQUIRED BY LOS ANGELES CpvNTY AND,STATE'OF .t
CALIFORNIA. OR THAT; I.AM THELEGAL.OW OF,AND INTEND TO
EtIN,THE ABOVE.DESCRIBE RESEI -
RESIDIDNT ROPERTY. FINAL
SIGNATURE .-/ J� ' - ° �
OF PERMITTEE .TACK R;.�A LUN, ERVISIN HANICAL ENG R.
PERMIT VALIDA'I'IO CK. .0. CASH.
PLAN CHECK VALIDATRON. CK.. M. CASH �
&;6 2:c—
JUL 5 Q 5 L:.�
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