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HomeMy Public PortalAbout10868 FREER ST_Sewer__ r ``°OD'-°' APPLICATION FOR. PERMIT 7BAS4[D COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFfETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS D o COLEMAN W. JENKINS. SUPT. OF BUILDING LocALIrY f cRo// R n FARES; . FOE APPI:ICANT TO F= INLZOAL - DESCRIPTION LOT NO. OWNER +� MAIF BLOCK TRACT Q `_44ADDRESS �J,.,,,, NO. OF SLDGS. SIZE OF L T XGW NOW ON LOT CITY` /I/ TIL NO. BUILDINGS OF DISTRICT H0. GRQUP BIK wAIP FR WEp■Y BUILDING■ _ CONTRACTOR 0 • �O .� ADDRFM `' /y � Y � C.OZ!fNECTION D11lTA CITY -f , 4, No. r a STATION J D[!TH' STAT[ LIC _� . �/Z_ MANHOLE REFERENCE, ! ! UPPER L C[IIRE NO, O C-L.Ar1 (� y No. -.PES RIPTION OF WORK FRI TYPE OF co ION TH FRow HOUSF/ FR CONNECTINOTO Y. - P.L PUBLIC SEWER 85. O B DTIC TA K,S X10[FIT O!1 2 P ZL O PITS AND/ DRAI FF(FLD f10.O0 CO.IMP.NO. JOB-HO. u HOUSE BEWER CONNECTING TOr.�i� of TRUNK PBkMIT NO. ROAD PERMIT N F O PRIVATE DI/POS AL BY BT[M � 83.00 CQN N[CT ADDITIONAL■CDG.OR AFFIDAVIT IAlRI Wn[7-f RECORD.Ff1 S'flt.NO. DATE WORK TO HOU■F BEWER * 87.00 LLJJJ OVERFLOW SEEPAGE Fff.DR.AINFIELD O. E%TH..CLS■POOL.DRYWEL-1-MANHOLE $5.00 ALiiM.REPAIR R AILA14DON HOUSE _ -_- HWY.OR fT.WIDENING H REWER OR DISPOSAL SYSTEM 83.00 STAT[LNCROACHMEHT PERMIT NO. ' INDUSTRIAL WASTE APPROVAL CHARGES' �OWN$R"3 PESMIT s x 00 AV lilOLll4l�TION TOM FEE GOHN[CTI QrI CHARD[F[[ I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEL - TRAGTOR TO CONNECT THE 11BOVIE DESCkIBID L)CISTING DW LLLINO TO THF PUBLIC SEWER. OVAIS GAT[ INSI•ECTOR'S SIGHATU R[ SIGNED THIS DAY OF 19_ ,r+_ OWNKIR OR NEW:HOU• EEWLR �f OWNERS AGLNT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK •FJ•T IC TANK.SPP.PIT( )- I HERESY ACKNOWLEDGE TH,IT L HAVE READ THIS APRLICATION AND/OR DRAINFI[LD AND STATE THAT THE ABOVE IS tORRECT AND AGR[[ TO COMPLY WITH ALL COU{!TY ORDINANCE* AND STATE LAWS REGULATING C[BSPOOL ❑ DRYWKLL ❑ L MBING AND SEWERB. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER,REPAIR./EWER OR [N■ED AD R[GUIR[D SV Lbf ANGLED COU HTY AND STATE OF SEWAGn DISPOSAL SYSTEM IFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT lLVG AND J� D[ IN, .THE ASOVI DESCIMI■ ESIDENTIAL PROPERTY. ASAHDOH HOUSESIWFRIIATURKBACK FILLSLPTIC TANKS ❑ lotP P[RM LEEP,PIT(S) fl CESSPOOLS VAI,M.0. ri JACK C Al-LIEN SUPERVISING MECHANICAL ENGINEER CK. M.O. CA*H 2- .8 a s� WV20 1 .0 0 7.0©w