HomeMy Public PortalAbout10250 RANDWICK DR_Plumbing__ FGA887-CE#817 5.81'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGn�iEER
BUOII�D�IIAiG AAE CoEN�TY ENIONADDRESS 10 arc) .r
WILLIAM A. JENSEN, SUPT OF BUILDING LOCAL=
FOR APPLICANT TO FILL IN C$NZ�$.
NUMBER FIXTURE OR ITEM OWNER `
WATER GLOSSY MAIL
I BATH TIIR ADDRESS
CITY TSL.NO.
/ SHOWER
Com.mCrOR V&110Y Plumbing Co.
LAVATORY ADDRESS442 o F'leet*ood Pl.
Sum
DISHWRSHEB
COY ien ®ra TSL.NO. 9d 5-12
ry
LADNDRY TOR HFOG�ffi�TS UOIK NO. ® ! Co TIINTY
CLOTHES WASHEB DISTRICT ZJO. GROUP I ZONfi SED BY
WATER HBATSB J r 11
MUSTRIAL
GAS SYSTEM r4d WASTE APPROVAL V
DISM=ON RECORD
:1��F'w ;! W
H PER.ITEM
APPROVALS D4TE/ INSPECTOR'ByySIGN71 URLq
PERMIT 5 2 00 UNDER SLAB WORK / Ihi�- ,d l/1_ 'X;Y.
s ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT TNR'ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL dQUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER .gra
'
I HEREBY CERTIFY THAT 1' AM PROPERLY REGISTERED AND/OR. PLUMBING FIXTURES CCN; .U._ «.._(•
LICENSED AS REQUIRED BY LOS, ANGELES COUNTY AND STATE OF GAS TEST J �3 L•�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE r
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
r
SIGNATURE
OF PERMITTE
FINAL 14
VALIDATION ROBERT A.WOOD.
M.o. CASH SUPERVISING MECHANICAL ENG'R
biuo? s 1 6, DEC 4 5 D 1 6.5 5�'