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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0204190010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 3623 LT: 117 8624 HERMOSA DR E
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SGAB CA 917753007
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BURTON
5387-006-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED B S .
21 HOSE BIBB(S) 1.00 FIX 16.20 04/23/02 VG 10/20/02
25 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DATE FINAL BY: CODE:
GLORIA HONG (626) 583-8968- 47 WATER HEATER(S) 1.00 WTH 16.20
2982 SHAKESPEARE DR 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 '
SAN MARINO 91108 TOTAL FEES 205.95 DESC PTIO
PLUMBING FOR 2 BATHROOMS AND LAUNDRY
APPLICANT: TEL. O:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENG ER: TEL. N PLASTIC Y/N METAL Y/N
CHANG, NELSON CHI-MIN G (213) 485-7725- ROU H PLUMBING N�
9157 CAMINO RAL AVE LIC. NO:
SAN GABRIEL, CA 91775 NONE GAS
AS VENT
HOT WATER HEATER
PLUMBING FIXTURES
UNW K�6A RFr7T S
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508