HomeMy Public PortalAbout6023 AGNES AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0907080001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER 1 BUILDING ADDRESS: 1
ITR: 6561 LT: 58 IEXIST OCC GRP: 6023 AGNES AV 1
I IBLDGS. NOW ON LOT: TEMP CA 917801708
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET: 1
15385-027-009 (ORIGINATION: I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
I (LENGTH ML TO PL: STATION: DEPTH:
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: EXPIRES ON:
I I 107/08/09 SR 07/08/10
I
I (COUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FINAL Y: CODE: 1
IHUANG XIAN XIAN (626) 625-6629- IJOB NUMBER:
16023 AGNES AV (TRUNK PERMIT NUMBER:
(TEMP 917801708 (ROAD PERMIT NUMBER: IDESCRI TION OF WORK 1
I 1AFFADAVIT: NO (CONNECT NEW RESIDENCE TO PUBLIC SEWER 1
IWAIVER: NO 1
1APPLICANT: TEL. NO: (EASEMENT: NO
ISTAN LU (626) 795-1250- 1 I
12500 E. FOOTHILL BL. (RECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
1PASADENA, CA 91107 HIGHWAY/STREET WIDENING:
I ISTATE ENCROACHMENT PERMIT NUMBER:
ICONTRACTOR: TEL. NO: 1 FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE I
11NNOVATIVE CONSTRUCTION AND (626) 315-2560- 1 1 I
(DEVELOPMENT LIC. NO IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: INEW HOUSE SEWER 1
1175 W. LEMON AVENUE 793659 B I I I I
1ARCADIA, CA 91007 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL y1
I 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 (BUILDING OR WORK I I I
(ARCHITECT OR ENGINEER: TEL'. NO: I TOTAL FEES 74.70 1 I
11NING ASSOCIATES, INC. (626) 795-1250- 1 (SEPTIC TANK, SEEPAGE PITI 1 1
12500 E. FOOTHILL BLVD #211 LIC. NO: I (AND/OR DRAIN FIELD I I
1PASADENA CA 91107 NONE I I I I I
IIDRYWELL
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SEWER MAP BOOK: PAGE: I 1ALTER, REPAIR, SEWER OR I I
1 (SEWAGE DISPOSAL SYSTEM 1 I 1
IDISCONNECT PLUG AND
I (ABANDON HOUSE SEWER I
I 1 1BACKFILL SEPTIC TANKS
1 (SEEP. PIT _ CESSPOOL
I 1 IGRAYWATER SYSTEM
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I IREPORT ID: DPR266 ROUTE TO BS0508 I
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