Loading...
HomeMy Public PortalAbout8814 LONGDEN AVE_Sewer__ r APPLICATION - FOR PERMIT 0 O Q•042 11.04 DIVISION OF BU DING AND SAF= SEWER—SEWAGE DISPOSAL �y Cotmtp od Los Ango)r OUILDIRS - - WM.J. F07C. CouNTv ENAINQER ADDRESS r CAOOAT'T D,GRIFFIN.Ouv-T av pytL^:::5 _ LoeAtm FOR APPLICAMT TO Fu.L IM NEAR`nST. i/i L L LEGAL Dlf CRIPTIOR lOT NO OWNER BLOCK TAAG E!FMAIL •J—,�Y�— 'DORERS S!7E ONO.q OR LLODTGf, PCITY TYL, NO USFF . RI' . 6ROOP O+P . .Co. I DQ PC CONTRACTOR CALIFSEWER CONST % ADDRESS 1317 COLEGROVE AVE. . iiiCCC!lIIII COPrW=ON DRTR CITY {.I.aWTEBELLO TEL, N..°A. 1-50 4Aviiv 7 'STATE ) U BTATC /: v. / a!' AMHOI.E aCrEREiaC1' —.- .....eTRATION NO. Q COUNTY UPPER er TYft OF CORRC 10 LENGTH FROM L ° NO. L CCSLRIFTION OF WORK FEC —. "UPS M.L.TO P_L. f HOUSE SEWER CPwNFCT!NG TO l PUBLIC.EWER S 5,90 �� �_ ��--•� _._' MOUSE SEWER COHN£CTING TO PRIVATE DI[PQ[A+ STSi'F& 1.0_0_ CONNECT ADDITIONAL BLDG. OR -' WORK TO 1,117.11!E eE1_00 000. IMP. NO. lOB. NO- ALVER OR REPAIR,EXISTING _SEWER OR DISPOSAL 3YS_TF_N1.0_0 -TRUNX PERMIT NO. ROAD PERMIT NO. _I , DISCONNECT AND ABANDON SEWER /OR 0!SPOSAL SY[TE St _ 1.00 'pCR 4!T MJ-_ems~tltNi ON PITO 0-D_R D_RA!AF;ILU 2.00 I '!NOUSIRIAL --- R wtIL -WASTE A?PROVAL 'ESSPOUL OFJI^�� SPECIAL CONDITIONS ONLY 7.00 ! �---I •CONNECTION CHARGE SEE OWNER'S PERNUT 00 AUTHONMAT+Ci'ra TOTAL FEE I J?f'ReURSEtlENT FEE ` 1 HAVE THIS DATE CONTRACTED 4ITH THC Y[oru• - -� �,.n• - " - TRA,'" TO !^w�':T n nvutt DESCRIBCD FXI3TINA, T .v IME PUBLIC 0�_!.UNG ° APPROVALDATE INSPECTOR'[SIGNATURE -::ULD THI _DAY OF `NEW HOUSE SEWER OWNER opQ :CONN£^ADDITIONAL OWNERS AGEMT� ORdVORX IJ ?OPTIC TAIi X. Sere v.T CS3 7 :iiRERY ACKNOWLEGGt THAT I RAVE READ THIS APPLICLTION ,CESSPOOL❑ ORYFSELL PT AND STATE THAT THE ABOVE 13 CORRECT ANC A4R'At TO COMP!,T W I ALL COUNTY ORDINAMCES.4qo STATE i.AIVS REGULATING .ALTF",REPAIR.SEIVER OR PLU McING AND Si Erta. �_EWAGE DISPOSAL SYSTEC 3 - ° 1 NF.P.EBY CFPTIP• THAT I AM PROPERLY REGISTERED ANO/OR `DlSCO:i NECT YLLIG ANO _ LICENSE. AS RiOU!RED BY LOS ARACLEY ':IUNTY AND STATE Of CALIFORNIA OR 'NAT 1 A10 THC LEGAL Ou"D Of TH6 ,:ROVE Ap"1=0Y 73L:=-=E^ ) DESCRIBE.RESIOENTIAL •BACKFILL 3ET74CTERt!T'� O•. 36SA-AN't1P► fT:".T'LS:u�_ ..•f'+�� �, -� ; � �.. rl OF PEP.X!TTEk( � W)LUAM J.I--A.CoLINTY ENomman Yli��$IOF3 Dy _pA47 , G2" SE 2 4 6.5 ID m GEPUTT A f/ � BEPUTT .S - 7LFi71'I I _ .