HomeMy Public PortalAbout10249 RANDWICK DR_Plumbing__ 7GA667=CE#8.17 5.61• �.
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILD ! AND SAFETY DIMION RO>LDIIQG
JOHN A.Lr4MB1E. COUNTY ENGINEER ADDRESS 2*f
WILLIAM A. JENSEN, SUPT OF BUILDINGQ
LOCRLTlY 71
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FOR APPLICANT TO FILL IN' NEARSCROSS T
NUMBER FIXTURE OR ITEMOWNER
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WATER CLOSE! KAM
ADDRESS
RATH TOB
CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR valla
sm ADDRESS 442 W. Flf-Atv-ood pi.
DISHWASH� CITY Glendora Tom.NO•
LAUNDRY TO8 REGISTRAATTIION NO. COII TY' 13
CLOTHES WASHER DIST NO. GROUP =NE SED BY.
WATER HEATER , 1 N
1 GAS SYSTB� INDUSTIM {0j
WASTE APPROVAL
IIQ$PRC�ION BECOHDy 'e.,f
Lu
B O FR IXTUREE 5 I / APPROVALS MILTE ., INBPEcTo 'B s�N uRB
PERMIT S 2 'OO UNDER SLAB WORK �r�i �� �c .39A jo., t
TOTAL FEE .��� ROUGH PLUMBING ♦ '� ,f
GAS PIPING I I v� c `y
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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES , •I'
LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OF GAS TEST �/ ,7 ,,,..[e471
lf i.
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER
UTILITY CO.NOTIFIEDgI4 .7e�. ✓ ..
SIGNATURE
OF PERMITTER ° �`�'' FINAL
T-- TION ROBERT Af WOOD
•L°K. M.o, CASH SUPERVISING MECHANICAL ENG'R ••
LA;07 s 2 1% DEC 4 5 D 16.5 5