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HomeMy Public PortalAbout10684 ARROWOOD ST_Plumbing_10/1/1979_clothes washer, gas system S 76A667A CE 6171REV.6 79) ©5 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS iY ro vV®Pd ��' NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 7— LOCALITY f NEAREST BATHTUB t CROSSST SHOWER I OWNER h COdYIJ2 tQK MAIL LAVATORY i ADDRESS 1�� T Arrowoed SINK CITY �1 - TEL.NO. DISHWASHER CONTRACTOR ® CLOTHES WASHER • 3 ADDRESS SWIMMING POOL RECEPTOR CITY IV TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS (� APPROVALS DAT INSPECT S SIGNATURE OUTLETS OVER / UNDER SLAB WOR T 5 PER SYSTEM ROUGH PLUMBING a GAS PIPING �,,,•/fig GAS VENT HOT WATER HEATER Q fa PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO.NOTIFIED g PLUMBING PERMIT ISSUING FEE$ TOTAL FEE 13 4�V FINAL PLAN CHECK VALIDATION Plan check applicant Name 9�e e 60 Y!2 s2to Address o6s 4 4rrowdod City P/MI C Tel.No. 78 r IHEREBY ALKN6WLEDGE THAT I AVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES e� AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 2 6 9 LL 6 A IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 5 REOU IR ED BY LOS ANGELES COUNTY AND-STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 2 0 0 1300 SIGNATURE C O O OF PERMITTEE DISTRICT NO. OC SE Y Q, O I --79 s-t 0' INDUSTRIAL WASTE APPROVAL