HomeMy Public PortalAbout4904 AGNES AVE_Sewer_10/1/2009 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0910010003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
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LEGAL ID ISEWER / SEPTIC SEWER BUILDING ADDRESS
ITR 9848 LT 7 1EXIST OCC GRP 4904 AGNES AV
JBLDGS NOW ON LOT TEMP CA 917803908
ASSESSOR INFORMATION NUMBER lCONNECTION TYPE NEAREST CROSS STREET OLIVE
8589 024 009 JORIGINATION THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY Cl
LENGTH ML TO PL STATION DEPTH
!TENANT IMANHOLE REFERENCE UPPER/LOWER JISSUED ON PROCESSED BY EXPIRES ON
10/01/09 SR 10/01/10
COUNTY IMPROVEMENT NUMBER
OWNER TEL NO IPLAN CHECK NUMBER IFINAI DATE FINAL BY CODE
JJUDKINS TINA M IJOB NUMBER
4904 AGNES AV ITRUNK PERMIT NUMBER
TEMP 917803908 IROAD PERMIT NUMBER IDESCRIPTION OF WORK
JAFFADAVIT NO IREPAIR SEWER LINE
WAIVER NO
APPLICANT TEL NO EASEMENT NO
IROBERTS (626) 798 0725 1
3228 ALANREES AVE !RECORD INSTRUMENT NBR RECORD DATE ISPECIAL CONDITIONS
IROSEMEAD CA 91770 IHIGHWAY/STREET WIDENING
]STATE ENCROACHMENT PERMIT NUMBER
CONTRACTOR TEL NO I FEES PAID JAPPROVALS DATE INSPECTOR SIGNATURE
PAUL ROBERTS COMPANY (626) 798 0725 1
IMERCADO MANUEL LIC NO FEE DESCRIPTION QUANTITY UOM AMOUNT INEW I-OUSE SEWER
3228 ALANDREED AVENUE 839456 C42 I I
IROSEMEAD CA 91770 01 PERMIT ISSUANCE FEE 27 75 ICONNECT ADDITIONAL
'15 ALT/REP HOUSE SEWER 1 00 EAC 30 45 BUILDING OR WORK
ARCHITECT OR ENGINEER TEL NO I TOTAL FEES 58 20
SEPTIC TANK SEEPAGE PIT
LIC NO AND/O4 DRAIN FIELD
DRYWELL
SEWER MAP BOOK PAGE
ALTEF REPAIR SEWER OR
ISEWACE DISPOSAL SYSTEM
IDISCOVNECT PLUG AND
ABANDON HOUSE SEWER
I IBACKFLLL SEPTIC TANKS _
i !SEEP PIT _ CESSPOOL
IGRAYWATER SYSTEM
Y
i EXPIRED
!REPORT ID DPR266 ROUTE TO BS0508