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• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0707230007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: [
ITR: 10260 LT: 16 (EXIST OCC GRP: 1 5517 D WELLAND AV [
IBLDGS. NOW ON LOT: I TEMP CA 917802932 [
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: DAINES
18573-015-017 (ORIGINATION: I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: I I
ITENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON: [
1 107/23/07 SR 01/19/08 1
ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: ]PLAN CHECK NUMBER: IFINAL DAT FINAL BY: CODE: 1
1KWOK CHANE, SUNNY GRACE (626) 574-8083- ]JOB NUMBER: 1� �' I
1105 S. FIRST AVE. ITRUNK PERMIT NUMBER: O
IARCADIA, CA 91006 IROAD PERMIT NUMBER: IDE CRIPTION OF WORK 1
I [AFFADAVIT: NO ICONNECT NEW CONDO TO PUBLIC SEWER 1
I IWAIVER: NO 1 I
]APPLICANT: TEL. NO: ]EASEMENT: NO 1 I
(HYDRO TECH PLUMBING CORP. (626) 443-6366- 1 I I
12609 STROZIER AVE. IRECORD INSTRUMENT NBR: RECORD DATE: 1SPECIAL CONDITIONS: 1
1 EL MONTE, CA 91733 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER: I I
ICONTRACTOR: TEL. NO: 1 FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE 1
1HYDRO TECH PLUMBING CORP., 62644363 (626) 443-6366- 1 1 I
12609 STROZIER AVE LIC. NO IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:INEW HOUSE SEWER I I
IEL MONTE, CA 91733 725263036 I I 1
I 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL I I
1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK 1 I I
ARCHITECT OR ENGINEER: TEL. NO: 1 TOTAL FEES 74.70 1 I I I
ILEE, TERI - 1 ISEPTIC TANK, SEEPAGE PITI I I
I LIC. NO: [ [AND/OR DRAIN FIELD I 1 I
1 NONE I [1 1DRYWELL _ 1
1 SEWER MAP BOOK: PAGE: 1 1ALTER, REPAIR, SEWER OR I I [
I I ISEWAGE DISPOSAL SYSTEM I 1 I
I I IDISCONNECT PLUG AND I I I
I I 1ABANDON HOUSE SEWER I [ I
I I 1BACKFILL SEPTIC TANKS _1 ] I
I ] ISEEP. PIT _ CESSPOOL
I ] IGRAYWATER SYSTEM 1 [ I
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I IREPORT ID: DPR266 ROUTE TO : BS0508 I 1 I I
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