HomeMy Public PortalAbout5825 ROWLAND AVE_Sewer__ COUNTY OF LOS 4NGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENt OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 0505240001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER
BUILDING ADDRESS:
TR: 6561 LT: 409 EXIST OCC GRP:
5825 ROWLAND AV
BLDGS' NOW ON LOT: TEMP CA 917802239
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LAS TUNAS
8587-030-006 ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
05/24/05 JK 11/20/05
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FIN/gLATEIN L BY: CODE:
GEORGINO BETTY M TR GEORGINO TRUST (626) 376-3052- JOB NUMBER: /!, O /�
5825 ROWLAND AV TRUNK PERMIT NUMBER: l%
TEMP 917802239 ROAD PERMIT NUMBER: DESqIPTICIN OF WORK
AFFADAVIT: NO ADDITIONAL WORK ON SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER -
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
O1 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
13 WORK TO HOUSE SEWER 1.00 EAC 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20
SEPTIC TANK, SEEPAGE PIT
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
REPORT ZD: DPR266 ROUTE TO BS0508