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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703020005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 6561 IT: 336 1 , 6047 OAK AV
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT-1 TEMP CA 917802030
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WOODRUFF I
15385-005-004 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
105 BACKFLOW DEVICES) 1.00 DEV 16.20 I I
ITENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
TOTAL FEES 60.15 103/02/07 JK 08/29/07 1
(OWNER: TEL. NO: 1 IFINAL FI CODE: I
IGONDERMAN LOUISE M (626) 287-9321- I I r I
16023 OAK AV 1 I I
ITEMP 917802030 1 1DESCRIPTION WORK 1
I I IPLTITING IN A SPRINKLER LINE AID WATER MAIN I
TEL. N0:
ISAME AS OWNER
I I ISPECIAL CONDITIONS: I
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(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
1SAME AS OWNER LIC. NO I (UNDER SLAB WORK I I lllj
IWATER SERVICE I I I
IPLASTIC YIN METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - I IROUGH PLUMBING I I I
LIC. NO: I{j IGAS PIPING 1 1 1 I
GAS VENT
IHOT WATER HEATER I I I
IPLUMBING FIXTURES I I I
I I ILAWN SPRINKLERS I I I
I I IGAS TEST 1 I I
1 1
1 1 1UTILITY COMPANY NOTIFIED( I 1
I I ICWV I I i
1 I GRAY WATER SYSTEM I I I
I I I I I
I I I I I I
I I I I 1 1
I I I 1 1 I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
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