HomeMy Public PortalAbout10230 DAINES DR_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1001050007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE (626) 285-0488 EXT ,
(LEGAL ID ISEWER / SEPTIC SEWER 1 BUILDING ADDRESS 1
ITR 15862 LT 6 IEXIST OCC GRP I 10230 DAINES DR 1
I IBLDGS NOW ON LOT. I TEMP CA 917802707
(ASSESSOR INFORMATION NUMBER ICONNECTION TYPE- I NEAREST CROSS STREET
18586-027-006 (ORIGINATION I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
(LENGTH ML TO PL STATION DEPTH 1 1
ITENANT IMANHOLE REFERENCE UPPER/LOWER- (ISSUED ON PROCESSED BY EXPIRES ON-
1 101/05/10 SR of/os/11 1
ICOUNTY IMPROVEMENT NUMBER
(OWNER- TEL NO. IPLAN CHECK NUMBER IFINAL ,(DATE r\ FINAL BY. CODE 1
I EMILY - I JOB NUMBER I
110230 DAINES DR ITRUNK PERMIT NUMBER
" ITEMP 917802707 - IROAD PERMIT NUMBER IDESCRIPT ON OF WORK
IAFFADAVIT NO ICONNECT HOUSE SEWER TO PUBLIC SEWER I -
IWAIVER NO I I
(APPLICANT TEL NO (EASEMENT NO
IJOE DIAZ (213) 792-7032- 1 I I
(RECORD INSTRUMENT NBR RECORD DATE ISPECIAL CONDITIONS 1
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I ISTATE ENCROACHMENT PERMIT NUMBER
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(CONTRACTOR TEL NO I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1
ISEBASTIAN WATERWORK'S INC. (213) 792-7032- 1 1 I
1220 E HAMMEL ST. LIC NO IFEE DESCRIPTION QUANTITY UOM- AMOUNT INEW HOUSE SEWER (� 1
IMONTEREY PARK, CA 91755 851276 C42 I I
1 101 PERMIT ISSUANCE FEE 27 75 ICONNECT ADDITIONAL I 1
I _103 CONN TO PUBLIC SEWER 1,00 CON 46 95 IBUILDING OR WORK I I 1
1ARCHITECT OR ENGINEER TEL. NO- I TOTAL FEES 74 70 1 I 1
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