HomeMy Public PortalAbout6210 SULTANA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1109060005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: I
ITR: 5904 IT: 199 (EXIST OCC GRP: I 6210 SULTANA AV I
I 1BLDGS. NOW ON LOT: I TEMP CA 917801553 I
[ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: [
15384-007-002 (ORIGINATION: [ THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C[
I ILENGTH ML TO PL: STATION: DEPTH: 1
TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
I 109/06/11 SR
COUNTY IMPROVEMENT NUMBER: I I
(OWNER: TEL. NO: PLAN CHECK NUMBER: IF BY: CODE:
ILAUPPE EARL M;ANNETT M (626) 285-5388- JOB NUMBER: I .4I
16210 SULTANA AV ITRUNK PERMIT NUMBER:
ITEMP 917801553 (ROAD PERMIT NUMBER: JDISCPTION OF WORK m I
I IAFFADAVIT: NO JINSTALL CLEANOUT ON SEWER LINE I
IWAIVER: NO I I
(APPLICANT: TEL. NO: [EASEMENT: - NO I
ITODHUNTER, STACY (626) 858-9284- 1 I I
1475 E. ARROW MY. IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: I
AZUSA, CA 91702 (HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER: I I
[CONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE I
IRESCUE ROOTER (626) 858-9284- I 1 I
1475 E ARROW HWY LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER I I [
1AZUSA CA 91702 765155 C36 I I-
101
101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I I I
I 115 ALT/REP HOUSE SEWER 1.00 EAC 30.40 (BUILDING OR WORK I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 TOTAL FEES 58.20 1 I I I
_ I ISEPTIC TANK, SEEPAGE PIT I I
LIC. NO: I (AND/OR DRAIN FIELD I I I
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SEWER MAP BOOK: PAGE: 1 [ALTER, REPAIR, SEWER OR I I I
ISEWAGE DISPOSAL SYSTEM I I I
I [DISCONNECT PLUG AND [ I
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IBACKFILL SEPTIC TANKS I I
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IREPORT ID: DPR266 ROUTE TO BS0508 I I I I
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