HomeMy Public PortalAbout10059 RANDWICK DR_Plumbing__ 78A657.CE08117 10-62
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
FBDINGBUILDING AND SAFETY DIVISION 100 Randwick
JOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN,SUP'T OF BUILDING Temple Clty
FOR APPLICANT TO FILL IN OSS , De.as
NUMBER FIXTURE OR ITEM EACH FEE Deal Cor2 WATER CLOSET $1.25 2. 01 BATHTUB 1.25 1.25SHOWER 1.25 TEL. NO.
2 LAVATORY 1.25 2.50 CONTRACTOR Owen Bros. Plumbing, Inc.
1 SINK 1.25 1.25 ADDRESS 426 No. Baldwin Ave.
1 DISHWASHER 1.25 CITY E1 Monte TEL. NO. 44 -00 8
ATE
LAUNDRY TUB 1.25 REGISTRATION ON NO. 231741 CATE
OUNTY ❑
1 CLOTHES WASHER 1.25 1.25 DISTRICT NO. 17R ZONE JeP�RPJVSSED BY
1 WATER HEATER 1.50 1.50
GAS SYSTEM 5 OUTLETS 1.50 1.50 INDUSTRIAL
APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD u
IAr AYNC Pt Pl JG--a. !G
y
APPR ALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDERFSLAB WORK _ �{
ROUGH PLUMBING s Q-(p� til u .,
TOTAL FEE 16.25 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT `
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER,. I �Z7j
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES .%/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST w w [
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO L
RESIDE IN,THE ABOVE SCRIBED SIDENTIAL PROPERTY. UTILITY CO.NOTIFIED -�
SIGNATURE A
OF PERMITTEE FINAL
VCK. ALIDATION ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
LiiW9336%0 MAR 8 5 D 16.25N