HomeMy Public PortalAbout10053 RANDWICK DR_Plumbing__ 78A68-C."1+ 10.82
APPLICATION FOR PLUMBING. PERMIT
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND IBIIILDING
JHNAAB ENGINEER
ADDRESS 10053 Randwick
WILLIAM A.JENSEN, SUP'T OF BUILDING
LOCALITY Tem l e C l t
FOR APPLICANT TO FILL IN NEAREST T Degas
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dnal Corp.
WATER CLOSET $1.25 3.175 MAIL
1 `BATH TUB 1.25 1.25 ADDRESS
91 SHOWER 1.25 9 9
CITY TEL. NO.
LAVATORY 1.25 3.75 CONTRACTOR Owen Bros Plumbing. Inc.
1 SINS 1.25 1.25 ADDRESS 4265 No. Baldwin Ave.
1 DISHWASHER 1.25 1.25 CITY El Monte TEL.NO. 44 -0078
CONTRACTOR'S STATE
LAUNDRY TUB 1.25REGISTRATION NO. 231741 COUNTY ❑
1 y CLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP ZONE RO ESSED BY
1 WATER HEATER 1.50 1.50v
1 GAS SYSTEM 5 OUTLETS 1.50 1.50 INDUSTRIAL J
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
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ezaAr APPROVALS DATE INS CTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK - j+��, ga►�I pl}, }di.A.
20.00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER J
PLUMBING.
IHERqEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ri
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LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS(TEST NOTIFIED / I J
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. ,y
SIGNATURE ? T
OF PERMITTEE j6-661?2� _ J
FINAL f
CALIDATION ROBERT A.=IVOOD U
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LliL-o 9 3 5 4 MAR 8 5 D 2 0.0 0-
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