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HomeMy Public PortalAbout5118 GOLDEN WEST AVE_Sewer__ i 700541-eo APPLICATI N FOR PERMIT` 7M�41D COVN" OF LOS ANW - SEWER-SEWAGE DISPOSAL DEPAEtN� OF COUNTY LNC B=INQ )M RAF= DMBION BUILDING S/ GO ADORE" 1PIIUAK A Tom. LOCALITY - e _ FOR APPIZCANT TO F l IN CROSS L IQo o, DMFUPnoII LOYND./?, �S� T- N,. o1iN�t B►pcc TRACT 97 I / R�1 N0.OF B C SIZE OF LOT NOW ON USE OF BUILDING O DISTRICT X0. GCO PQo BT CONTRACTOR � Y r J o F_ ADDRESS LTJ_ MMMON DATA T - CITYC h TY�R0. STATIOR DAH /f 'rANaoI.E ca RES LSTRA On No, v ' C►�f Z� 'C'T Q, No. EE �� CONNECTING TO RIPTI FEE HOU&OSErER� Od PUBFTP[ OF COnNFycT]OX LEROTH FRO■ $EPTI4TAANK,SEEPAGE PIT OR T. CURB P ■.L TO P PITS AND/ORDRAINFIELD OYEfLFWW SEEPApE PIT DFiA7NFIELD - HOUSE'S ER CONNE-CT1 G TO P.C.NQ. CO.IMP.M0. 10B R0. CONNECT AD DSTI�NAL BLOG.-OR TAUNR PERMIT nb. to"PE3MIT R0. FORK 0 HOII E EME3t0 S1,00 Al bR BAN n HOUSE -Do PM ENCROACHrE1CT PM T N0, YXD AL r FROM CHARGO OYMEWS Pim flb co m noh CHARGE fa AUTHORIZATION TOTFiI. i FE C hEIOBURSEYEXT FER I HAVE AT MS DATE A CoNTRAgT WITHTHE HEMMM COR- TRACTOR TO, rON-NECT THE n D RIBED UIVINC,MI,U$9 - APPHOVAI$ DATE IKm •iil RATlfRE TO THE PUBLIC SEWER- SIGNED Tlil F 9_ XirW H0UBE SEWER OWNER OR COXt(ECT ADDITIORAL OWNERSAGUT BUILDING OR WORK D/OR DRAI C'IANK,�EE� PITS) ADD ; NFIELD 1 HEREBY ACKXOW DGE THAT L RAPE READ THIP APPLICATIOR ARD STATE THAT THE ABOYE IS CORRECT AND AGREE TO COMPLY CISSfooL DRYWELL tTTFi ALL PCD_tE'T� ORDINNAANCEf AND DTA LArf�REGU4ATIXG A TER,REPAIR,SEWER OR PLUMBING An-D'SEwER.S. SEYAGE DISPOSAL SYSTEM I HEREBY CE�RTIFT TRAY I AN PROPERLY RgdlrrMM AND/OR DISCONXEC7 PLUG AND L)CIrN3Eb 7l� RFO—U} BT LOS Ar(-cE1rEs counTT AND STATE of 2.NDON HOUSE SE1 - - 'CALJFDRR1A OR 'ti l A■ TH iSC.A4 OrAEQ OF THE ABOVE BACKtaI). C tAN-KS Cl 1"GRA'DESCRURI RESIDEIjQIAL PROP QIGRIITURE (//��� EETiP PIT S CE93P00 F PER m■ OALIDAYION ROBERT A, WOOD ei E 0. r•ii lYUL�RtYLZING MECHANICAL [NOINIam ��? 62 4 � a`_P14 1 C D 5.00