HomeMy Public PortalAbout9328 BLACKLEY ST_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # OSO8 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0708080001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
1TR: 11492 LT: 14 BL: C 1EXIST OCC GRP: 9328 BLACKLEY ST 1
I IBLDGS. NOW ON LOT: TEMP CA 917803138 1
ASSESSOR INFORMATION NUMBER: lCONNECTION TYPE: NEAREST CROSS STREET: 1
18590-009-015 ORIGINATION: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: 1 1
TENANT: IMANHOLE REFERENCE: UPPER/LOWER: JISSUED ON: PROCESSED BY: EXPIRES ON:
1 1 108/08/07 SR 02/04/08
1 ICOUNTY IMPROVEMENT NUMBER: I I
IOWNER: TEL. NO: ( CHECK NUMBER: 1 E� FINAL p�Y: CODE:
JOB
1H0, PING (626) 674-3014- JOB NUMBER: (`� � �A/y/
19328 BLACKLEY ST. ITRUNK PERMIT NUMBER:
ITEMPEL CITY CA 91780 IROAD PERMIT NUMBER: IDESCR PTION OF WORK I
IAFFADAVIT: NO ICONNECT NEW RESIDENCE TO PUBLIC SEWER
(WAIVER: NO I
(APPLICANT: TEL. NO: (EASEMENT: NO I 1
INGUYEN (626) 918-8906- I
11139 GLENVIEW ROAD IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
IWEST COVINA CA 91791 1HIGHWAY/STREET WIDENING: I1
1 ISTATE ENCROACHMENT PERMIT NUMBER:
I I I I
ICONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE 1
IPING K HO (626) 319-6297- 1 1 1
IMOU KENG U LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER 1 1
12431 S. 3RD. AVENUE NONE
ARCADIA, CA 91006 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL 1 I 1
103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1 I I I
1TAGUDAR, FRED (626) 674-3014- 1 ISEPTIC TANK, SEEPAGE PITI I 1
11139 GLENVIEW RD. LIC. NO: I 1AND/OR DRAIN FIELD I I 1
IWEST COVINA, CA 91790 C33612 I I I 1 1
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SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR I I I
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1 IREPORT ID: DPR266 ROUTE TO BS0508 I 1 1 1
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