HomeMy Public PortalAbout4817 GLICKMAN AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0206060028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: Y BUILDING ADDRESS:
BK: 25527 PG: 03 PC: EXIST OCC GRP: 4817 GLICKMAN AV
BLDGS. NOW ON LOT: TEMP CA 91780
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LOWER AZUSA
ORIGINATION: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TEI�AI.°1: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
06/06/02 JK 12/03/02
COUNTY IMPROVEMENT NUMBER: _
OWNER: TEL. N0��� PLAN CHECK NUMBER: TINA DATE FINAL BY: CODE: _
WEN DING PEI (626) 289-0204- JOB NUMBER:
735 W EMERSON AVENUE TRUNK PERMIT NUMBER:
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MONTEREY PARK 91754 ROAD PERMIT NUMBER: CRIP ONON OF
AFFADAVIT: NO SEWER FOR NEW CONDO
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
KIM WONG PLUMBING
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO:� v - FEES PAID -' APPROVALS DAT INSPECTOR-SIGNATURE
KIM WONG PLUMBING (626) 448-1383-
9631 ALPACA ST. LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
SOUTH EL MONTE CA 91733 752619 B * _
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PI.T
LIC. NO: AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO BS0508