HomeMy Public PortalAbout5340TEMPLE CITY BLVD_Sewer (2) COUNTY OF UDS ANGELES TEMPLE CITY N 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS SE 0508 1006020009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID SEWER / SEPTIC SEWER BUILDING ADDRESS
1R 15531 LT 3 EXIST OCC GRP 5340 TEMPLE CITY BL
SLOGS NOW ON LOT _ I TEM1P CA 917803148
(ASSESSOR INFORMATION NUMBER (CONNECTION TYPE I NEAREST CROSS STREET OLIVE
18589-001-003 (ORIGINATION THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
LENGTH ML TO PL STATION DEPTH
TENANT
MANHOLE REFERENCE UPPER/LOWER ISSUED ON PROCESSED BY
06/02/10 SR
I COUNTY IMPROVEMENT NUMBER
(OWNER TEL NO IPLAN CHECK NUMBER FINAL TE FINAL BY CODE
IBRKIC, FERDO (626) 445-1207- IJOB NUMBER
1455 DRAKE RD TRUNK PERMIT NUMBER l tel\
ARCD 910076253 ROAD PERMIT NUMBER ]DESCRIPTION OF YARN 1
AFFADAVIT NO REPAIR EXISTING SEWER LINE FROM SIDE OF THE HOUSE TO STREET
IWAIVER NO EXISTING CLAY PIPE SEWER LINE WAS SEVERAL STOPPAGES 4 CRACKS
(APPLICANT TEL NO (EASEMENT NO THIS IS EMERGENCY REPAIR
IBRKIC, FERDO (626) 445-1207-
455 DRAKE RD (RECORD INSTRUMENT NBR RECORD DATE (SPECIAL CONDITIONS
ARCADIA CA 91007 HIGHKkY/STREET WIDENING
(STATE ENCROACHMENT PERMIT NUMBER
CONTRACTOR TEL NO FEES PAID (APPROVALS OATH INSPECTOR SIGNATURE
BRKIC FERRO (626) 445-1207-
455 DRAKE ROAD LIC NO 1FEE DESCRIPTION QUANTITY VOM AMOUNT (NEW HOUSE SEWER /
ARCADIA, CA 91007 NONE (bA`/`)�T'_ (/{
1 101 PERMIT ISSUANCE FEE 27 75 (CONNECT ADDITIONAL
15 ALT/REP HOUSE SEWER 1 00 EAC 30 45 (BUILDING OR WORK 1
(ARCHITECT OR ENGINEER TEL NO TDTAL FEES 58 20 1EYWELL
PTIC TANK, SEEPAGE PIT
LIC NO D/OR DRAIN FIELD
1 1
SEWER MAP BOOK PAGE [ALTER, REPAIR SEWER OR
ISEWNGE DISPOSAL SYSTEM
1 (DISCONNECT PLUG AND 1
(ABANDON HOUSE SEWER
j1BACKFILL SEPTIC TANKS _I I
SEEP PIT CESSPOOL
GRAYWATER SYSTEM
1
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I I I
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1 (REPORT ID DPR266 ROUTE TO BSOSOB 1