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HomeMy Public PortalAbout10217 RANDWICK DR_Plumbing__ 7 � 76AS67-CE#8173.61' APPLICATION FOR PLU BING -PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION Rua Dn�c�. JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITT i FOH APPLICANT To FILL IN NaluEsT CROSS ST.- NUMBER FIXTURE OR ITEM' OWNER WATER CLOSET mm ADDRESS BATH TM® CITY 2=NO. SHOWER cONTRA=OR Valley Plumbing Co. LAVATORY' ADDRESS 442 W. Fleetwood Pl. DISHWASHER cm Glendora Tom'NO' Ed 5-1.29 LAUNDRY TMI ear ON NO. 200431 Cov STATE. CLOTM WASHER DIBTR CI'NO. I GROUP I ZONE P SED BY WATER.BEATER �( SYSTEQ4 1Du rawD' STNRm O V WASTE.APPROVAL RII$P=ON RECORD„ O 1171_ I s. , r- ME IY � f - z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB.WORK TOTAL.FEE ROUGH.PLUMBING 1.� �. GAS PIPING.. i HEREBY ACKNOWLEDGE THAT�l HAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE; IS CORRECT AND'.AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 -AM PROPERLY REGISTERED_ AND/OR PLUMBINGFIXTURES Y• J /1� / LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN. THE LEGAL OWNER OF THE ABOVE GAS.TEST DESCRIBED RESIDENTIAL:PROPERTY UTILITY CO.NOTIFIED SIGNATURE OF PER MITTEN FINAL 7 lj d' ALIDATION ROBERT A. WOOD IyK. M..O. CASH SUPERVISING MECHANICAL ENG'R Ao.7 8 2 4`% DEC 4 5 D 1 6.5 5