HomeMy Public PortalAbout10714 ARROWOOD ST_Plumbing_1/15/1953_52627-5 water fixtures (2) ' COUNTY OF LOS ANGELES
APPLYCATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT N.O. GROUP ZONE .
FOR APPLICANT T❑ FILL IN O S�,6,,2—�
s
II
PLUMBER VAuFY RnIFVARII PIIWRINrl M -RECEIVED BY READY FOR DATE ISSUED
vv(�\ FIRST INSPECTION
ADDRESS �:,,�'T X/AI I ,r-�/ RI \/
CITY ROSEMEAD TEL No. BUILDING Q —
AT_ 2-2719 ADDRESS
COUNTY V1
LICENSE N0. 9•%IV, EXPIRES 6-3 - LOCALITY
NEAREST
PERMIT FEES CROSS ST. _
OWNER �C --
NUMBER TYPE OF FIXTURE OR ITEM FEE --- ---
MAIL
WATER CLOSET-(TOILET) O.SC $ 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 TO 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 @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM-3—OUTLETS 0.50 OF THE RESIDENT IA��LL//,�pp,,ROOPERTY DESCRIBED AS E.
SIGNATURE OF �'IF;.�'W .00
WATER HEATER O.SO PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER O.SO
DRINKING FOUNTAIN 0.50
URINAL 60➢ 0.513 'J
Q
HOUSE SEWER 0.50 Z_
MISCELLANEOUS I7
Q'
APPROVALS /��
DATE INBPdHCTOR'9 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 /J
c9C1 UTILITY CO.NOTIFIED /I //1, "�Cj"
TOTAL FEE $ o r
FINAL
76A667 DBS#17 6-52