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DESCRIPTION OF WORK
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0103200007
BUILDING AND SAFETY / LANDDEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 236 6252 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801630
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDON
5384-009-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 03/20/01 UT 09/16/01
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
JIMENEZ KATHERINE E (626) 286-8292- / ��
6252 HART AV /
TEMP 917801630 DESCRIPTION OF WORK
PLUMBING FOR BATHRM ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �'. � '� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
l i ROUGH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
i
1 , GAS TEST
' UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
5 IXA G' I
REPORT ID: DPR263 ROUTE TO: BS0508