HomeMy Public PortalAbout5332 CLOVERLY AVE_Sewer__ • �' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERM�ITS
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS §E.0508-9914.170001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID - SEWER / SEPTIC S B ILDING DDRESS
TR 17190 LT 3 EXIST OCC GRP 5332 CCOVER LY, AV-;'
BLDGS NUW ON LOT TEMP CA_91=7803105
ASSESSOR INFORMATION NUMBER CONNECTION TYPE NEAREST CROSS STREET OLIVE
8590-005-005 ORIGINATION THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
LENGTH ML TO PL STATION DEPTH
TENANT MANHGLE REFERENCE UPPER/LOWER ISSUED ON PROCESSED BY EXPIRES ON
11/17/99 UT 05/1
COUNTY IMPROVEMENT NUMBER 5/
OWNER TEL NO PLAN CHECK NUMBEP FINAL DATE FINAL BY ODE
LEE,GORDON JOB NUMBER
5332 CLOVERLY AV TRUNK PERMIT NUMBER
TEMPLE CITY, CA ROAD PERMIT NUMBER DESCRIPTION OF WORK
AFFADAJIT NO CONNECT NEW RESIDENCE TO PUBLIC SEWER SYSTEM
WAIVER NO
APPLICANT TEL NO EASEMENT NO
SAME AS OWNER
RECORD INSTRUMENT NBR RECORD DATE SPECIAL CONDITIONS
HIGHWAY/STREETT WIDENING
STATE ENCROACHMENT-PERMI-Tg UMBER
CONTRACTOR - TEL NO "FEES`PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER \�� loll
LIC NO FEE DESCRIPTION QUANTITY UOM AMOUNT NEW OUSE SEWER
i/ /r°'�Z
01 PERMIT ISSUANC(FEE 27 75 CONNECT ADDITIONAL
A03 CONN�TO PUBLIOSEWER 1, 00 CON 46 95 BUILDING OR WORK
ARCHITECT OR ENGINEER TEL NO TOTAL FEES 74 70
- SEPTIC TANK, SEEPAGE IT
LIC NO / 1111111 AND/OR DRAIN FIELD
LDRYWELL _
SEWER MAP BOOK PAGE y r UL(-DD--)'
L C (} n }7®Ro-'
n,(,� ALTER, REPAIR, SEWER OR
\)�///\�\J(/ I�J�((� SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
y� ABANDON HOUSE SEWER
O ❑ * BACKFILL SEPTIC TANKS _
�} SEEP PIT _ CESSPOOL _
GRAYWATER SYSTEM
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REPORT ID DPR266 ROUTE TO BS0508