HomeMy Public PortalAbout10702 ARROWOOD ST_Plumbing_3/31/1953_gas system COUNTY OF LOS ANGELES APPLICATION FOR,PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTWOT NO. GROUP ZONE PERRIT NO
FOR APPLICANT TO�y FILL �I�N CO. s � --
PLUMBER VALLEY BO!!_F__V!.�Q PLEMBING CRECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
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ADDRESS
Ar •4� nT BUILDING
CITY ROSir9IL/�:LJ- TEL NO. AT. 2-2; ADDRESSla
COUNTY
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LICENSE NO. 93M EXPIRES 6-jo-
LOCALITY
NEAREST
PERMIT FEES CROSS ST,
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNF_R /L
MAIL
WATER CLOSET(TOILET) 0 0.50 _ADDRESS
BATH TUB a 0.50 _CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O.SO AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR IAM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED AS E,
GAS SYSTEM_.�OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE
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SLOP SINK @ 13.50 _ INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50 -
DISHWASHER 0.50
DRINKING FOUNTAIN O.SO
URINAL 0.50 Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS V`
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APPROVALS
SDA"TES INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
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TOTAL FEE $ I UTILITY CO.NOTIFIED �
FINAL