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APPLICATION FOR PLUMBING PERMIT 1
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CALIFORNIA OR I AQ THI LEGAL OWNER OF THE uliryco -/(—
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ROBERT A.WOOD.
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COUNTY OF LOS ANGELES TEMPLE CITY A 0508 PLUMB DPG PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNIS PL 0508 1305020029
B=ING AND SAFETY / LAND DEVELOPMENT TEMPLE CTI'Y CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FESS PAID BUTIZING A)ER&SS:
ON FILE 5436 ROBINBOOD AV
FEE DESCRIPTION: QUANiTi'Y: UOM: AMOUNT: TEMP CA 917802729
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STS=:
8586-024-016 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 n LID: B4 LOC J=: TEMPLE CITY CA
47 S07.'ER HEATER(S) 1.00 KPH 16.20
TENANT: TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY:
05/02/13 SR
OWNER: TEL. NO: FPRLL DATEF BY: CODE:
LEM, BARBARA (626) 797-3886-HII-IF Lw,
5436 ROBLOOD AV ` �� ''
TEMP 917802729 DIMCRIPTION OF WORK 14
REPLACE NATER HEATER
APPLICANT: TEL. 190:
KHACHERYAN, MARINE (818) 982-6952-
13400 SAT-ICY STS #25 SPECIAL CONDITIONS:
N HOLLYWOOD CA 91605
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PL@®INO INSMLLERS (818) 982-6952-
13400 SATICOY STREET #25 LIC. 190 UNDER. SLAB WORK
NORTH HOLLYWOOD CA 91605 915215
AAT'ER SERVICE
PLASTIC Y/N MOLAL Y/N
ARCH]:TECT OR ENGIN=R: TEL. NO:
ROUGH PLUMBING
LIC. NO: I i
GAS PLPING
GAS VENT
HOT WATER HEATER
PLCIHBING FIXTURES
LAXN SPR NIC ERS
(SAS TEST
UTILITY COMPANY NOTIFIED
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GRAY (CATER SYSTB!!
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REPORT ID: DPR263 ROUTE TO: BS0508