HomeMy Public PortalAbout10709 ARROWOOD ST_Plumbing_1/19/1966_softener 78A887 -CEil817 1.2-84 _ -icy of Temple City � 232.9
APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER - -
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10709 Arrowood I
COLEMAN W. JENKINS, SUPT OF BUILDING
' LOCALITY Temple City
FOR APPLICANT TO FILL IN CROSSSST. Grand & Double Dr,
NUMBER FIXTURE OR ITEM EACH FEE
OWNER R. Leamin
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR General Installation Cio 0
SINK 1.25 ADDRESS 6558 West Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541
LAUNDRY TUB 1.25 CONTRACTOR'S C-36 151839 787STATE $j
REGISTRATION NO. - COUNTY ;E]
CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z NEMPRSSED BY
WATER HEATER 1.50 `� _{— —
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD
1 5oftaner 1 50 Re�ady for Inspection -Now
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 QQ UNDER SLAB WORK
ROUGH PLUMBING /
TOTAL FEE 3 50 GAS PIPING I
s
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT I F
AND STATE THAT THE"ABOVE IS.,CORRECT AND,AGREE TO COMPLY ! f
e WITH ALL COUNTY' ORDINANCES LAND STATE. LAWS REGULATING HOT WATER HEATER / ^
PLUMBING. '' - yy
I HEREBY CERTIFY THAT 1 -AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED REST IA RO Y. UTILITY CO. NOTIFIED
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SIGNATURES G t ....__.Nr._....
PERMITTEE—
FINALOF -,
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-_-VALIDATION ROBERT d WOOD w
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M.0. CASH SUPERVISING MECHANICAL ENG'R
LALO.8 9 3 6',00 JAN 19 5 0 3e54—