HomeMy Public PortalAbout10663 ARROWOOD ST_Plumbing_1/3/1962_gas system 76A667-CE817 12/59 777. r 11 F T I-
.ssrd 6 i-
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Cr
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY /
FOR APPLICANT TO FILL IN CNEARE
ROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
ADDRESS (
BATH TUB
CITY C'J� L.
SHOWER
LAVATORY CONTRACTOR �(,-77. .1i_ ).
SINK ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT N G OUP ZONE P O ESS D BY
WATER HEATER ` y I V 1
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
v
a
O
U
w
a
m
z
OR PER ITEM
OR FIXTURE $ /-Com' APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT-H $ 2 00 UNDER SLAB WORK
TOTAL FEE C`U ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
i. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF THE ABOVE
DESCRIBEDRESIDRN 7111Y� UTILITY CO. NOTIFIED
SIGNATURE
OF PER LLG FINAL
Or VALIDATI- ROBERT A. WOOD,
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
652 .1N 5 D 3.00