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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303130006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 89 6052 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801718
ASSESSOR N NEAREST CROSS STREET: GARIBALDI
5385-027-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHERS) 1.00 FIX 16.20 04/17/03 JK 10/14/03
21 HOSE BIBB(S) 2.00 FIX 32.40
OWNER: TEL. O: 25 LAVATORIES/SINKS 4.00 FIX 64.80 F19AL DATE FINAL BY: CODE:
CARRILLO MANUEL;MARIA C (626) 285-5087- 45 WATER CLOSET/URINAL 3.00 FIX 48.60 /j�L/�
6052 GOLDEN WEST AV 47 WATER HEATER(S) 1.00 WTH 16.20 L-� d
TEMP 917801718 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTION OF WOR
TOTAL FEES 286.95 PLUMBING FOR ADDITION/REMODEL
APPLICANT: TEL. O:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NOUNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: 7� -- �,,
/ �: �`j /.,,� PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATERR
PLUMBING RES
LAWN SPRINKLERS
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UTILITY COMPANY NOTIFIED
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GRAY WATER SY97EFF
REPORT ID: DPR263 ROUTE TO: BS0508