HomeMy Public PortalAbout10702 ARROWOOD ST_Plumbing_3/31/1953_58164-6 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
ISTRI:CT N.O. GROUP ONE .
FOR APPLICANT TO FILL IN ��
PLUMBERVAlI EY rinl If FVARf) I I JURINr, C.0 RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS A � '( I "' CN�
d Y
BUILDING
CITY ROSENJEAD TEL NO.AT, ADDRESS 2-2 19
COUNTY
LICENSE NO. 93M EXPIRES 6-30' LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER f
MAIL
WATER CLOSET(TOILET) D.50 $ ADDRESS
BATH TUB (e}? 0.50 CITY TEL. NO.
SHOWER @ 0.50 I 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 Cg? 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 -J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS E9
i v 0
0
APPROVALS
DATE INSPECT
PR'S NAME
ROUGH PLUMBING `"�.1�/`B`,E
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT1.00 GAS TEST
• UTILITY CO.NOTIFIED
TOTAL FEE $ 1 S-3
t I FINAL IM4
76A667 DBS##17 6-52