HomeMy Public PortalAbout9803 BROADWAY_Sewer__ COUNTY OF IAS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1308260006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: (SEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 13805 IT 21 IEXIST OCC GRP: 9803 BROADWAY
BLpGS. NOW ON LOT: TEMP CA 919802634
(ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET:
I
18568-012-017 ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
ILENGTH ML TO PL: STATION: DEPTH:
I TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
108/26/13 SR
COUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: IPLAN CHECK NUMBER I FINAL DATE. FY: CODE:
MAXWELL FINANCIAL LLC (626) 623-0988- (TOB NUMBER: I
1613 CHELSEA RD $127 ITRUNK PERMIT NUMBER:
SAN MARINO CA 91108 ROAD PERMIT NUMBER 17YESCRIPTION OF WORK
AFFADAVIT: NO (CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
1 (WAIVER: NO
APPLICANT: TEL. NO: (EASEMENT: NO
VAN, STEVEN (626) 675-7052-
11798 CIGAR TIRE (RECORD INSTRUMENT NRR: RECORD DATE: ISPECIAL CONDITIONS:
W COVINA CA 91792 (HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
1CONTRACTOR: TEL. NO: 1 FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE I
IDATKAM CONSTRUCTION, INC. (626) 675-7052- 1 1 T1
11798 CIGAR TERRACE LIC. NO (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: INEW HOUSE SEWER
I WEST COVINA CA 91792 859760 1
�01 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I
1 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 BUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1
IEEE, PETER (626) 280-9000- ISEPTIC TANK, SEEPAGE PITI 1 1
1
18748 E VALLEY BLVD SUITE L LIC. NO: (AND/OR DRAIN FIELD
ROSEMEAD CA 91770 859760 R
IDRYWELL _ I I
SEWER MAP BOOK: PAGE: IALTER, REPAIR, SEWER OR
ISEWAGE DISPOSAL SYSTEM
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DISCONNECT PLUG AND
ABANDON HOUSE SEWER
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IBACKFILL SEPTIC TANKS _
SEEP. PIT _ CESSPOOL _
GRAYWATER SYSTEM
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1 11111 I I 11111 11111
11 111 I I 111 I
111` ADDITIONAL DATA ON FILE
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IREPORT ID: DPR266 ROUTE TO BS0508
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