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HomeMy Public PortalAbout5705Agnes Ave_Sewer (2)9117 OLIVE STREET (RECORD INSTRUMENT NEE: RECORD DATE: LEMPLE CITY CA 91780 (HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: -ONTRACTOR: TEL. NO: FEES PAID 4NDY DUC HUYNH (626) 318-3269- 9117 OLIVE ST LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CEMPLE CITY CA 91780 838986 1 ARUHl'1'EC1' UK ENUINEEK: TEL. NU: LEE, PETER (626) 280-9000- 8748 E VALLEY BLVD SUITE L LIC. NO: ROSEMEAD CA 91770 838986 .EwL..1 ESU.: ewuE: O1 PERMIT ISSUANCE FEE 03. CONN TO PUBLIC SEWER 1.00 CON TOTAL FEES ^' ADDITIONAL DATA ON FILE ID: DPR266 ROUTE TO : BS0508 SEWER PERMIT SE 0508 1402240009 5705 AGNES AV TEMP CA 917802604 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA ISSUED ON: PROCESSED BY: 02/24/14 SR F }//��[DP,TE � / FIN3L $Y: CODE: DEN TION/,OOP WORK /�([1y,` CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE 27.80 ICONNECT ADDITION 47.00 IBUILDING OR WORK 74.80 1 SEPTIC TANK, SEEPAGE PIT AND/OR DRAIN FIELD IDRYWELL _ (ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM ) ABANDON HOUSE SEWER (BACKFILL SEPTIC TANKS _ (SEEP. PIT _ CESSPOOL I GRAYWATER SYSTEM I) COUNTY OF LAS ANGELES TEMPLE CITY # 0508 OWNER: DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS (626) 318-3269- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ITRUNK PERMIT NUMBER: TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: JAFFADAVIT: NO (SEWER / SEPTIC: SEWER IS: 6561 LT: 423 BL: .001 UN: .002 1EXIST OCC GRP: (EASEMENT: NO HUYNH, ANDY (626) 318-3269- BLDGS. NOW ON LOT: ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: 8587-028-003 ORIGINATION: LENGTH ML TO PL: STATION: DEPTH: PENANT: IKANHOLE REFERENCE: UPPER/LOWER: 9117 OLIVE STREET (RECORD INSTRUMENT NEE: RECORD DATE: LEMPLE CITY CA 91780 (HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: -ONTRACTOR: TEL. NO: FEES PAID 4NDY DUC HUYNH (626) 318-3269- 9117 OLIVE ST LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CEMPLE CITY CA 91780 838986 1 ARUHl'1'EC1' UK ENUINEEK: TEL. NU: LEE, PETER (626) 280-9000- 8748 E VALLEY BLVD SUITE L LIC. NO: ROSEMEAD CA 91770 838986 .EwL..1 ESU.: ewuE: O1 PERMIT ISSUANCE FEE 03. CONN TO PUBLIC SEWER 1.00 CON TOTAL FEES ^' ADDITIONAL DATA ON FILE ID: DPR266 ROUTE TO : BS0508 SEWER PERMIT SE 0508 1402240009 5705 AGNES AV TEMP CA 917802604 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA ISSUED ON: PROCESSED BY: 02/24/14 SR F }//��[DP,TE � / FIN3L $Y: CODE: DEN TION/,OOP WORK /�([1y,` CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE 27.80 ICONNECT ADDITION 47.00 IBUILDING OR WORK 74.80 1 SEPTIC TANK, SEEPAGE PIT AND/OR DRAIN FIELD IDRYWELL _ (ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM ) ABANDON HOUSE SEWER (BACKFILL SEPTIC TANKS _ (SEEP. PIT _ CESSPOOL I GRAYWATER SYSTEM I) (COUNTY IMPROVEMENT NUMBER: OWNER: TEL. NO: (PLAN CHECK NUMBER: WANG, NICOLE C (626) 318-3269- JOB NUMBER: 9117 OLIVE STREET ITRUNK PERMIT NUMBER: TEMPLE CITY CA 91780 (ROAD PERMIT NUMBER: JAFFADAVIT: NO IWAIVER: NO APPLICANT: TEL. NO: (EASEMENT: NO HUYNH, ANDY (626) 318-3269- 9117 OLIVE STREET (RECORD INSTRUMENT NEE: RECORD DATE: LEMPLE CITY CA 91780 (HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: -ONTRACTOR: TEL. NO: FEES PAID 4NDY DUC HUYNH (626) 318-3269- 9117 OLIVE ST LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CEMPLE CITY CA 91780 838986 1 ARUHl'1'EC1' UK ENUINEEK: TEL. NU: LEE, PETER (626) 280-9000- 8748 E VALLEY BLVD SUITE L LIC. NO: ROSEMEAD CA 91770 838986 .EwL..1 ESU.: ewuE: O1 PERMIT ISSUANCE FEE 03. CONN TO PUBLIC SEWER 1.00 CON TOTAL FEES ^' ADDITIONAL DATA ON FILE ID: DPR266 ROUTE TO : BS0508 SEWER PERMIT SE 0508 1402240009 5705 AGNES AV TEMP CA 917802604 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA ISSUED ON: PROCESSED BY: 02/24/14 SR F }//��[DP,TE � / FIN3L $Y: CODE: DEN TION/,OOP WORK /�([1y,` CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE 27.80 ICONNECT ADDITION 47.00 IBUILDING OR WORK 74.80 1 SEPTIC TANK, SEEPAGE PIT AND/OR DRAIN FIELD IDRYWELL _ (ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM ) ABANDON HOUSE SEWER (BACKFILL SEPTIC TANKS _ (SEEP. PIT _ CESSPOOL I GRAYWATER SYSTEM I)