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COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1202150017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1
ITR: 7690 LT: 4 BL: .001 UN: .002 I I 10631 OLIVE ST I
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802843 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
01 PERMIT ISSUANCE FEE 27.80
18586030-009 147 NOPE HEATER(S)
BLDR 1.00 WTH 16.30 DOL 257.00 IISSUEDTON PROCBMAS ESSED7BY; PLAN GRID: C3BY LOCALITY: TEMPLE CITY, CI
1 TOTAL FEES 301.10 102/15/12 SR
(OWNER: TEL. NO: I IFINAL DATE FI BY: CODE:
IZHU, XIAODAN ( I I
110631 OLIVE ST I I � I
ITEMP 917802843 1 JDVSCRIPTION OF WORK
I I (RELOCATE WATER HEATER
1APPLICANT: TEL. NO: 1 I
(SAME AS OWNER
I 1 ISPECIAL CONDITIONS:
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(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER
ILIC. NO I 1UNDER SLAB WORK 1 I I
IWATER SERVICE
1PLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I 1
TROUGH PLUMBING
LIC. NO: I 1
I (GAS PIPING
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I I IHOT WATER HEATER I 11 1
(PLUMBING FIXTURES % I
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GAS TEST I I
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GRAY WATER SYSTEM I I
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IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
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