HomeMy Public PortalAbout5809 ROWLAND AVE_Sewer__ r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 1005060001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: 1
ITR: 6561 LT: 407 UN: .002 (EXIST OCC GRP: 5809 ROWLAND AV 1
IBLDGS. NOW ON LOT: I TEMP CA 917802239 1
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: 1
18587-030-023 (ORIGINATION: I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: I I
ITENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: 1
I 105/06/10 SR [
I ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: 1PLAN CHECK NUMBER: IF14AL �PATE FINAL BY: CODE:
IRODRIGUEZ, MANUEL (626) 286-0462- IJOB NUMBER. I
15809 ROWLAND AV ITRUNK PERMIT NUMBER: 1 (( 1
ITEMP 917802239 IROAD PERMIT NUMBER: IDESCRIPTION OF WORK 1
[AFFADAVIT: NO [REPAIR HOUSE SEWER 1
(WAIVER: NO I I
(APPLICANT: TEL. NO:( (EASEMENT: NO 1 I SAME AS OWNER -
IRECORD INSTRUMENT NBR: RECORD DATE: [SPECIAL CONDITIONS: I
(HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
(CONTRACTOR: TEL. NO: I FEES PAID [APPROVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER -
LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1NEW HOUSE SEWER I
1 101 PERMIT ISSUANCE FEE 27.75 JCO.NNECT ADDITIONAL 1 I
1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.45 IBUILDING OR WORK [ I 1
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 58.20 1 I I I
I - I ISEPTIC TANK, SEEPAGE PITI I I
LIC. NO: I IAND/OR DRAIN FIELD I I 1
I [ 1DRYWELL I I
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1 SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR 1 I I
ISEWAGE DISPOSAL SYSTEM [
IDISCONNECT PLUG AND I I I
I [ABANDON HOUSE SEWER I 1
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I IREPORT ID: DPR266 ROUTE TO : BS0508 I [ 1
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