HomeMy Public PortalAbout10709 ARROWOOD ST_Plumbing_8/15/1961_log lighter 76A667-CE817 12/59 .91"EMPLE M
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT 00 BUILDING c
LOCALITY
FOR APPLICANT TO FILL-IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM - OWNER 4
WATER CLOSETMAIL
BATH TUB ADDRESS
CITY TEL. NO. O D
4, SHOWER
" LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY EL, NO.
CONTRACTOR'S STATE El
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT O I GROUP I ZONE I a P SSED BY
WATER'HEATER
p GAS SYSTEM _+ INDUSTRIAL
_ WASTE APPROVAL
/ INSPECTION RECORD
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@ $1.00 PER ITEM I P
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT. $ 2 00 UNDER SLAB WORK
TOTAL FEE
ROUGH PLUMBING
3 D�
'—GAS PIPING �
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ"THIS APPLICATION GAS VENT - "y�a9 gss! ( .r ,�c%-'3`"
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING,OP PLUMBING. HOT WATER HEATER
'
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY.LOS ANGELES COUNTY AND STATE OF GAS TEST _ d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE +.
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �f
SIGNATURE
OF PERMITTEE
a21
FINAL
®r. VALIDATIO ROBERT A. WOOD,
CK. M.0. cash SUPERVISING MECHANICAL ENG'R
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