HomeMy Public PortalAbout10049 RANDWICK DR_Plumbing__ 7GA067-CE#417 10=62
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS 1004 Ilandwi ck
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Dpaas
NUMBER FIXTURE OR ITEM EACH FEE OWNER Deal Corp.
2 WATER CLOSET $1.25 2.190 MAIL
1 BATH TUB 1.25 1.25 ADDRESS
1 sxowER 1.25 1.25
CITY TEL. NO.
2 ILAVATORY 1.25 2.50 CONTRACTOR Olden BrOS. Plumbing, Inc.
1 1 SINE 1.25 1.25 ADDRESS 4265 No. Baldwin Ave.
1 DISHWASHER 1.25 1.25 CITY El Monte TEL. NO. 4433-0078
ATE EX
LAUNDRY TUB 1.25 REGISTRATION ON NO. 2331741 COUNTY ❑
1 CLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP I ZONE "ClqESSED BY
1 WATER HEATER 1.50 1.50 ✓�
1.50 INDUSTRIAL d
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK �� y('ffU J
ROUGH PLUMBING t
TOTAL FEE 16-125— GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L
COUNTY ORDINANCES AND STATE LAWS REGULATINGHOT WATER HEATER ,p.Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESAS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESTA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO THE ABOVE D CRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
RE ^MITTEE
FINAL
ALIDATION ROBERT A.WOOD
cK., M.G. CASH SUPERVISING MECHANICAL ENG'R
LA(;o 9 3 3 4 Kf;R 85 5 D 16.25-