HomeMy Public PortalAbout10102 RANDWICK DR_Plumbing__ E"17 10.82
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
10102 Rand-wick
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JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
Temple Cit
FOR APPLICANT TO FILL IN 4Cgo�TT. Degas
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dnal Corp.
WATER CLOSET $1.25 2.190 MAIL
1 BATH TUB 1.25 1.25 ADDRESS
M SHOWER 1.25 1.25 CITY TEL. NO.
2 ILAVATORY 1.25 2 50 CONTRACTOR Bros Plumbing, Inc.
1 SINK 1.25 1.25 ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1.25 CITY El Monte TEL. NO. 443-0078
CONCTOR'S STATE C�
LAUNDRY TUB 1.25 REGISTRATION RAT ON NO. 231741 COUNTY ❑
1 CLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP I ZONE I PROCESSED BY
1 WATER HEATER 1.50 1.50 —�
11.50 INDUSTRIAL ILl
GAS SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD u
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK .(1-6
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER 71 AR ff
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED ®P,� i' 6 A.A'
SIGNATURE
OF PERMITTEE �g
FINAL 00ALIDATION ROBERT A. OOD
GK. M.O. CASH SUPERVISING MECHANICAL ENG'R
Lri60 9 3 3 9 MAR 8 5 D 1 6.2 5 N G