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HomeMy Public PortalAbout6309 GOLDEN WEST AVE_Sewer__ 79u42D az,o4.,:.. APPLICATION FOR PERMIT 1 OOUNff OF LOS ANG9Mss SEWER—SEWAGE DISPOSAL MAaTwm" OF COIIHTT Mfwcm BUILMa AND SAFETY DMMON BUILDING NG l Imm JL %M h al 'LocALm REARM H APPLICANT TO ST. u DESCYI OR SOT 1f0 � gS �T ca D r L. BLOC= TRACT A.D.DDlKSS O NO.OF BL.DQS. SI1a or Lot C. Y- o2. NOW ON LOT --7 1 No USHOF BUILDINGS V I L. q T N0. GROUP RAP PROMISED BT Bt - PG CONT4ACTOT ADDRESS 3o � COHI�I=ON DATA CIfT TEL N0. N IPTH a OLX REF![uNCY QEGISTRAT70N NO. *�N0. F"POuEc iEWER�mcylNG TO ��gp�[ �Q� TP$or oRIaTH 7OR rlyT�a�A�I,IQ�OR DVFNrI($TL rT OAIE QLD .00 CU r L TOP.EI171. CEaIIrLD$RTr$LL IAIIHOL$ o0 HOUSE SEWER CONNECTING TO P.C.N0.PRIVATE DIINECT �SPOS�IA�L 3TSTER 1.00P NO 2JOB N0. WORK TOO HH(UIS�E alA7EEARIBILpDpG.09 - 1.00 TRUNK F"xrT R0. ROAD PERXIT NO. SEalA DIaPOiaklL7SEYRS7'BR HOUSI 1.00 STAT[ENCROJCHKM PaRIT NO. INDUSTRLAL VA CHARGES Qvnvm PEDW 2 0.0 COMMON c m"ra AUTHOMMION I TOTAL FES M"VRSI;R$NT r= I HAVR AT THIS DATE A CONTRACT WITH THE HERRIN PLASM,COX. OV DATE INEFICTOL('a SIGNATURY TRACTOR TO CONNECT THE ABM D3S MISER STING DWELLINQ To THE PUBLIC SaWE>R %GNED THIS�DAY NEWHoos>c SEWER OWNER OR >n(-i►�► BU� RI L 1OR WORK OWNERS AGENT r TANL,Dfilff ADD DRAINFIE I HQREHT AC1C11QALEDyqE THAT I HAV[ RRA.D THIS APPLICATI AND UATE THAT THE ABO11)t Ia CORRECT AND AGRIE TO COOPOL DRTWML 13 WITS ALL COUNTT ORDINANCLS AND STATI LAWS MULATIREPAIR aI�E!OirPLURBING AND fEWER■ DISPOSALI HEREBT CERTIrT THAT I AR PQOPIQRL.T RIG1STMM AAD1/ NICT PLUG AND LICENSED AE RSOQIR� BT LOE MGELJIII COUNTY AND STATi tI HOUSECALIFORNIA OR THAT I A■ THI LiGA1 THY ADDESCRIBE) RSSID PRO LL C TANSSIGNArURX i / ITS CEESP00 - 2" 0FP /z Z/,-- VALIDATION ROBERT a WOOD WUFSP V1a1Ma MECHARICAL IQIOLN3= LACO2 sEP101 o A 5.00 N