HomeMy Public PortalAbout10220 RANDWICK DR_Plumbing__ 78A887•CE#817 5-51-
APPLICATION
-81-APPLICATION FOR PLUMBING PERMIT . •
COUNTY OF LOS ANGEIM
DEPARTMENT OF COUNTY_ENGBOM
BOHNLAND
COUYE� RDD
A. NTENGINEER ADDRIM
G.lr- •
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALM a Q°
FOR APPLICANT TO FILL IN CNEAREST
ROSS S.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSE[ KAL
/ RATH TOB ADDRESS
CITY TEL NO.
SHOWER
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LAVATORY
CONTRACTOR a'l eyPlumbing Co.
SINS ADDRESS 44 aee WOO .
DISHWASHBS y�
cm Glendora - mm.No,
LAUNDRY TOB B80GB3METWIC'IORN13t 60 c847 0U iY
/ CL07H68 WASHBR DiBT ICT N0. GROUP ZO E P SED BY
WATER HUM .n �. O
GAS mm= �j uWAM�pROVAL V
MMIMON MOM
111612,13
t/f
z
'"'' s 1 /35.9 APPROVALS DATE INSPECTOR'S SIONATURd
PERMIT $ 2 00 UNDER.SLAB WORK
ROUGH PLUMBING
TOTAL FEE ® i i^C `" - ems✓'%�
GAS PIPING
I HEREBY ACKNOWLEDGE THAT•I 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 ° I,ry�,y' !..•'G:
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHWOR PLUMBING FIXTURES_ "�p�y l�••••%-'�t.{��6�
LICENSED AS REQUIRED BY LOS•ANGELES COUNTY AND STATE OF GASTEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI L PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMIFIE FINAL mv 43
VALIDATION ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R •�
L& 7 b 2 7 v DEC 4 5 D 1 .3 0-
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