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C O U N T Y O F L O S A N G E L E S
D F + P A R T M E N T O F P U B L I C W O R K S
, B U I L D I N G A N D S A F E T Y / L A N D D E V E L O P M E N T
L E G A L I D :
T R : 6 5 6 1
L T : 4 2 3 B L : . 0 0 1
A S S E S S O R I N F O R M A T I O N N U M B E R :
8 5 8 7 - 0 2 8 - 0 0 2
T E N A N T :
O W N E R :
H S U , B R I E N / F R A N C I S C
5 7 0 3 A G N E S A V
T E M P 9 1 7 8 0 2 6 0 4
T E L . N O :
( 8 1 8 ) 2 8 6 - 1 6 4 7 -
A P P L I C A N T : T E L . N O :
S A M E A S O W N E R
C O N T R A C T O R : T E L . N O :
S A M E A S O W N E R
L I C . N O
A R C H I T E C T O R E N G I N E E R :
G B A R C H I T E C T S
4 0 0 N . M O U N T A I N A V E . , 8 2 0 8
U P L A N D , C A 9 1 7 8 6
T E L . N O :
( 9 0 9 ) 9 4 9 - 6 9 9 9 -
L I C . N O :
C - 2 2 9 6 1
T E M P L E C I T Y
9 7 0 1 L A S T U N A S
T E M P L E C I T Y C A 9 1 7 8 0
P H O N E : ( 6 2 6 ) 2 8 5 - 0 4 8 8 E X T :
# 0 5 0 8
P L U M B I N G P E R M I T
P L 0 5 0 8 1 3 1 2 3 0 0 0 3 7
D U P L I C A T E
F E E D E S C R I P T I O N :
0 1 P E R M I T I S S U A N C E F E E
0 7 B A T H T U B S / S H O W E R S
1 1 C L O T H E S W A S H E R ( S )
1 3 D I S H W A S H E R ( S )
2 5 L A V A T O R I E S / S I N K S
4 5 W A T E R C L O S E T / U R I N A L
4 7 W A T E R H E A T E R ( S )
5 1 L O W P R S G A S 5 O U T L E T
6 0 D W V R E P A I R O R A L T E R
6 3 W A T E R P I P I N G B R / F I X
6 4 W A T E R P I P N G < = 1 1 / 2
F E E S P A I D
Q U A N T I T Y : U O M : A M O U N T :
3 . 0 0 F I X
1 . 0 0 F I X
1 . 0 0 F I X
5 . 0 0 F I X
4 . 0 0 F I X
1 . 0 0 W T H
1 . 0 0 S Y S
1 . 0 0 S Y S
3 . 0 0 F I X
1 . 0 0 L I N
T O T A L F E E S
R E P O R T I D : D P R 2 6 3 R O U T E T O : B S 0 5 0 8
2 7 . 8 0
4 8 . 6 0
1 6 . 2 0
1 6 . 2 0
8 1 . 0 0
6 4 . 8 0
1 6 . 2 0
1 6 . 2 0
1 6 . 2 0
2 0 . 4 0
1 6 . 2 0
3 3 9 . 8 0
B U I L D I N G A D D R E S S :
5 7 0 3 A G N E S A V
T E M P C A 9 1 7 8 0 2 6 0 4
N E A R E S T C R O S S S T R E E T : L I V E O A K
T H O M A S P A G E : 5 9 7 G R I D : A 3 L O C A L I T Y : T E M P L E C I T Y C A
I S S U E D O N : P R O C E S S E D B Y : P L A N B Y :
1 2 / 3 0 / 1 3 S R
F I N A L D A T E
D E S C R I P T I O N O F W O R K
P L U M B I N G F O R B A T H R O O M S , K I T C H E N , L A U N D R Y , W A T E R H E A T E R ,
W A T E R M A I N A N D G A S L I N E
S P E C I A L C O N D I T I O N S :
A P P R O V A L S
U N D E R S L A B W O R K
W A T E R S E R V I C E
P I , A S T I C Y / N
R O U G H P L U M B I N G
G A S P I P I N G
G A S V E N T
D A T E
H O T W A T E R H E A T E R
P L U M B I N G F I X T U R E S
L A W N S P R I N K L E R S
G A S T E S T
U T I L I T Y C O M P A N Y N O T I F I E D
C W V
G R A Y W A T E R S Y S T E M
I N S P E C T O R S I G N A T U R E