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HomeMy Public PortalAbout9514 GARIBALDI AVE_Sewer__ moats APPLICATION F'OR P MIT co"Ty or LOS A mcuu- SEWER—SEWAGE DISPOSAL MARTMIMT CV COUWn MCIMM Ajva=G AND MATT D ox :DD�r R LOCALm a FOR APPLICANT TO IN -� o vd� DELUMON LOT No. -1 '� L brNER BLDcc TRACT AADDD"= TEL mo, - NO.OFHLD SIZE OF LOT N01i ON LOT CrTT U3E OF Bu LDINa DIXIRp NO. GROu PT ax CDNTRACTOR .f ADDfE!* dOMdMON DATA cm 5 TIL N4. o. bTAnbN Trm i REGISMTIOlr No. 7 .9 c!OUXTr M"Ii0� a i No D ME tiQUC CONNI;CTINa T4 ,00 r�1u199 nn OF CoNNIaCnbN k"6TH TK SEPTIC TANK,SEEPAGE PIT OR T. CURB P.L r TO P PITS ANDD//0OR DRAINFIELD OYERFLDrt SEEPAGE IT DRAINFIELD OUN�SE'C7 AD COXNECTI i 7'0,_ CO.two.NO./ JOB NO. rOHR1C TO HOUSE 0 LOS.OR 111.00 TRUNK PEttrITNO. ROAD PERMIT RM EP OR DON HO SE $TATE ENCR.OACHrQNT I-00 PERMITN0. NDUSTAIAL PRO VA -CEME3 OvMMS PERM z 00 CONNECTION CHARGE In AVMOBMTION TOTAL FEE reElreuRSEMaNrFEE 1 HAVE AT THIS DATE A CONTRA(;T �ITalI TRE HEREIN MA'�ED CON- TRACTOR TO CONNECT THE ABOVE D5SC1tIBED E�IBTIXa�D'ML�LUNG APPROVALS DATE. INSPECTOR'SSISPATURH TO THE PUBLIC SEWM SIGNED THIS-------DAY OF fl_ NEw EOUSE-SE►ER. OfN$i OR /C. CONNECT AD ITIONAL OWN AGENT . BULLDING OR WORM( AbDo'FsaSEPT C TANk SEEP.PIT(3) AN OR DRAINFIELD I H AM E T 1 H/1VFy READ TRIS APPLICATION AILD CTRAT OVE 1S CL CT AND AGREE TO CO LT CESSPOOL E DRTAE ALL PLUM AND X ORD XANCEf AHb STATE LAYS REG ULAYINa AIiE DIlIPBSA STL STE01� I HE'RMT CEkTIFT THAT AN PROPERLT RE619TMM AND/OR DISCONNECT PLUG►Np LICENSED AS REOUiRED BT S ANGELES COUNNNTTTTTT D STATE OF DISCONNECT N HOUSE GG Anp CALIFORNIA S niAT I THE LHGAL Mr THE ABOVE DESCRIBED RESIDEi1T PEHTT. BACKFILLS C 7AN�G4 - naNATURE �' "EP.PIT S CESSPOOLS OP "ME 1"M t ATION ROPERT A, WOOD , ¢R L Q. cuol &UMMOINO-i4ECHANICAL MNOIAi uc t �;�� 0 ? SEP ,"")9s 0 0 5 .CC1