HomeMy Public PortalAbout5753 ROWLAND AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1204230001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: (SEWER / SEPTIC: SEWER I BUILDING ADDRESS: 1
JTR: 6561 LT: 406 (EXIST OCC GRP: I 5753 ROWLAND AV 1
I BLDGS. NOW ON LOT: TEMP CA 917802617 1
[ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: I NEAREST CROSS STREET: WORKMAN
18587-029-011 (ORIGINATION: I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(LENGTH ML TO PL: STATION: DEPTH: I 1
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: IISSVED ON: PROCESSED BY: 1
1 104/23/12 SR I
IOOUNTY IMPROVEMENT NUMBER:
OWNER: TEL. ULAN CHECK NUMBER: F NP,L DA FL• 1\ Y: CODE:
BROWN GLENN R;ELAINE M (626) 286-6-8224- (JOB NUMBER: I
I � I
5753 ROWLAND AV TRUNK PERMIT NUMBER: I�
ITEMP 917802617 IROAD PERMIT NUMBER: ISCRIPTION OF WORK I
IAFFADAVIT: NO [REPLACING 4" SEWER LINE FROM CLEAN OUT TO MY PROPERTY LINE I
I IWAIVER: NO I I
IAPPLICANT: TEL, NO: (EASEMENT: NO I I
ISAME AS OWNER
I IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: [
(HIGHWAY/STREET WIDENING: I
STATE ENCROACHMENT PERMIT NUMBER: I I
[CONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE
[SAME AS OWNER
I LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER I I
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL 1 1
1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.50 IBUILDING OR WORK I I [
[ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 58.30 1- I I [
I - I [SEPTIC TANK, SEEPAGE PITI I 1
I LIC. NO: I [AND/OR DRAIN FIELD I [
I I [DRYWELL
I I I I
[ SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR I [
I I (SEWAGE DISPOSAL SYSTEM [ [ I
[ I IDISCONNECT PLUG AND [ [ I
I 1ABAATDON HOUSE SEWER I I [
[ [ BACKFILL SEPTIC TANKS
[ I SEEP. PIT _ CESSPOOL _ [
I I GRAYWATER SYSTEM [ I
I I I I I I
I I II I I
I I
1 (REPORT ID: DPR266 ROUTE TO BS0508 [ [ 1 1
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