HomeMy Public PortalAbout5806 MUSCATEL AVE_Sewer__ APPLICATION FCR PERMIT
COUNTS OF LOS ANGELES SEWER-SEWAGE DISPOSAL.
IS PAIMMIaNT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BLIILr NG,,"
ADDRESS __ J ,P v�. ,.;
IGH & �.Ad BIE, County Engineer :r.
CASSATT D. GRIFFIN, S•ap`t of Building OCA'ITY �L
-. NEARESTY
FOR APPLICANT TRoss s r.,v' _ � -
1,EGAL �� i
DESCRI-P ION'' LOT NOC o---_�_ OWNER 4�
BLOCIS BRAG r r ADDRESS r ' r
N0. OF SLOGS.
SIZE OF LOT � � � NOT7 ON LOT q �.r* G � c• Y'ni=
�_. — � r—...� i.T'..r �"n,'i�r � T�.�..ILO. �F"' SS
USE OF
BUILDINGS '�� _ DiSTRICi NO. GROUP MA(' � EROCcaaED BY
.j',y --�--- Aeli-'t x BK s Pa I r
CO-T�tAC EDR y n s �� rF ter" � �✓
ADDRESS CONNECTION DATA
1�
——
CT "TATIOAt ✓ l F
-DEPTH
1
RFFx.STATE MANHOLE E?GEky
—�- �rulr,d 40PWPEERRCO NTf'CT �ND, DE __ I=TIQPF x
HOUSS11-14VER CONNECTING TO R
—
v
—
PUSti.
S a IC TANK SFEPAGE PIT OR p — TYPE,OF TSE 7-!ON LENGTH F'ROM
y
PITS ANIS CRAINF9Ei $3.00 m C RB P,I_ M.L.TO P,L< _7
VV.cnFIXWSEEPAGE PIZ DRATNFfELD
E xN. Clw SFrG :,t7R7L' �. tiANHO_E
ROUSE SEWER CGhNd r I IG TO -f P.C.NO.
FR e TF DIGFOSAi SISI M a $7,00 I � CO_IMP NO. 6 y„- JOB NO.
CONNECT ADI FI'nNAL BLDG.OR-� -- "—� � TRUNK FEYMIT N0. ROAD PERMIT NO.
xA51.0
ORR TO Hou 1�S CR 0^_ 0 1
A R.PEFAUR OR ABANDON HOUSE �y � SATE ENCROACHMENT
SEWER ORD 'USE`S SYSTENT F7 �t.00 I ti_ PERMIT NO. _
INDUSTRIAL
HASTE APPROVAL,
R� 1 CHARGES
Ogg ?R? PERMT — e_ 10� CONNECTION CHARGE FEE
AtlTHORI7ATION 'DOTAL FEIN _�t fi� RE(MBURSEMENTFEE
I FIAVE; AT THIS DATE A CONTRACT Y - + HEREIN NAMED CON. . ��v
TRACTOR TO CONNECT Fes' .ABOL x.:;c:t�iu :.t I.�n Y.G D E1_C._1NG APPROVALS OAT I INSPECTOR'S SIGNATURE
To THE PUBLIC SE Ra� r —
SIGNED Ti➢fS �.I3AY OF -4NEWHousE SEWER
OWNEROR -���•� .� , � � F CONNECT ADDITIONAL,
OWNERS'AG€ti " k t 1�z BU_ILDINU OR WORK
�r4 ' „p', y SEPTIC TANK,SEEP,PIT(S)
:A4£3RrSS ) - :k:_n. .-',,.'�# —., a c€.'n,. AtvD/ORDitAINFIELD
I HEIZZEBY ACY.Y3OWLFDCF- THAT I :HAVE READ 'THHS APPLICATION.
AND STATE THAT T iE AROYL IS CORRECT AND AGREE TG COMPLY CESSPOOL DRYW_LL L
WITH ALL COUNTY OROINANk;ES AND STATE. LAWS REGULATING ALTER,REPAIR,SEWER OR
PLUMBING UIdEIPvG AND SEWERS, SEWAGE DISPOSAL SYSTEM
I H0 REBT CFR71FY THAT 1 AV PROPERLY RFGISeERED AND/OR DISCONNECT PLUG AND
LICENS.D AS REQUIRED BY LOS ANGELES C9,VT3iY AND STATE OF ABANDON HOUSE SEWER
CALIFORNIA OR THAT I AM THE LFG.��,,,f -ITANER OF TH�E,�Am& _
pESCKIBE'D FtESIDEF4T YR:Ok'ERTY,.-''"p ! P 13ACKt SQL S.;
SIGNATUREC $SP-O:aOL.S
PMTOFERTEE _
d
r VALIDATION ROBERT A.WOOD
CK, ea 6r t[aSFz `.' SUPERVISING 149CHe`il`dtCAL ENGINEZI2
' •'� ._ '#" ,���� � fid y�