HomeMy Public PortalAbout6216 IVAR AVE_Sewer__ COUNTY OF ;,OS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS- 9701 LAS TUNAS SE 0508 1110130001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 5904 LT: 36 IEXIST OCC GRP: 1 6216 IVAR AV 1.
I IBLDGS. NOW ON LOT: I TEMP CA 917801525 - 1
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: 1
15384-001-014 (ORIGINATION: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: -
ITENANT: IMANHOLE REFERENCE: UPPER/LOWER: 1ISSUED ON: PROCESSED BY: 1
_ 1 110/13/11 SR
I 1COUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: 'IPLAN CHECK NUMBER: IF AL DATE FINAL-BY: CODE: I
PHAN, THANH (213) 309-9612- IJOB NUMBER:
11139 GLENVIEW RD. ITRUNK PERMIT NUMBER: 1 / v
IW. COVINA, CA 91791 IROAD PERMIT NUMBER: IDES IPTION-OF WORK 1
IAFFADAVIT: NO ICONNECT NEW SINGLE FAMILY YWELLING TO PUBLIC SEWER 1
1 (WAIVER: NO i 1
(APPLICANT: TEL. NO: 1EASEMENT: NO
INGUYEN, LAP (626) 918-8906- 1 I .
11139 GLENVIEW RD. IRECORD INSTRUMENT NBR: RECORD DATE: 1SPECIAL CONDITIONS: 1
I.W. COVINA, CA 91791 HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
I I I I
ICONTRACTOR: TEL. NO: I FEES PAID 1APPROVALSDATE INSPECTOR SIGNATURE 1
ICUSTOM-BUILT CONSTRUCTION (714) 839-8072-
115571 MAIR PLACE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER
IWESTMINISTER, CA 92683 669783 B
101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I 1 I
103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 .I
ITAGUDAR, FRED (626) 918-8906- 1 - ISEPTIC TANK, SEEPAGE PITI
11139 GLENVIEW RD. , LIC. NO: - .(AND/OR DRAIN FIELD
IWEST COVINA, CA91790669783 B * I I I 1.
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