HomeMy Public PortalAbout10714 ARROWOOD ST_Plumbing_4/7/1953_58164-4 (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZON .
FOR APPLICANT TO FILL IN
PLUMBER VAI 1 EY R0111 FVAR MD i Co. RECEIVED FIRST INSPECTION LY READY FOR DATE ISSUED
,
ADDRESS 0I `.ci VALLEY
VD �—7 -�5-3
BUILDING
CITY ROSEMEF:D TEL ADDRESS /-0 No. AT. 2-2719
COUNTY
LICENSE NO. 193 PA EXPIRES 6,3Q, LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER •"'a X6e� 4
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB 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 TD COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 0.50
Of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER 0.50 PERMITTEirr�u:.�,
SLOP SINK @ 0.90 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN O.SO
URI-NAL Q 0.50 J
Q
HOUSE SEWER 0.90 Z_
MISCELLANEOU 5
0
APPROV,AS
/DATE INSPECTDR'S NAME
ROUGH PLUMBING
J
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
—77c)
UTILITY CO.NOTIFIED
r TOTAL FEE FINAL
76A667 DES#17 6-52