HomeMy Public PortalAbout6006 RENO AVE_Sewer__ E0
S -G83 72-55 APPLICATION,, FOR PERMIT 1
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DIVISION OF BUILDING AND SAFETYSEWER—SEWAGE DISPOSAL
Department of County Engineer
County Of Los Angeles BUILDING ✓ K
WM.J. FOX, COUNTY ENGINEER ADDRESS 4.
CASSATT b. GRIFFIN, SUPT OF BUILDING ADDRESS
FOR APPLICANT TO FILL IN NEAREST J� roF
LEGAL
DFSCRTPTiON LOT NO. f /'.✓ g, '�;
____.._ OWNER .✓ ,� j i. 8�r t _
BLOCK TRACT - y MAIL
ADDRESS
N /^,
OF
SIZE LOT ,r "0 0.OF BLDGS. � -- -- - - -- -
y } N04V ON LOT `CITY TEL. NO.
` USE OF e
BUILDINGS _
-- °^� �__ 4 GISTRiCT NO: { GROUP ! MAP
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CONTRACTOP. �+"`�.3iC t'<; �`," '�_..--- f -..-_"
ADDRESS CONNECTION DATA
ADDRESS
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CITY a; ye ,c...s TEL. N.O. . STATION ;' ; ,3, , - DEPTH '
W--'STATE + MANHOLE REFERENCE --..
REGISTRATION
NO. i [] COUNTY �` r -U-PS'.ER - r� It-ong
_ r `
"-`"— TYPE OF CGN41.ECyrCN LENGTri FROM
NO. { DESCRIPTION OF WORK FEE __. CURB --P.L. �M.L,_-0 P.L
�I HOUSE SEWER CONNECTING TO `�. 'I a
PUBLIC SEWER_ __ _ _ C, _$ 3.50 1 i _ — -
j–HOUSE SEWER CONNECTING TO ' I~
P1'sIt'1:T8 Dd5?OS.AL 51'57EM 1.00
CONN-ECT A601 IC AL BH?G, OR
I I , . y A � ''L�IOB. .
WORK TO HOUSE SEWER i,00 � _�:' COIMPNO NO -"
ALTER OR REPAIR EYI 1kNG
SEWER OR DISPOSAL SYSTEM 1.00 ( I TRUNK PERMIT NO, ROAD PERMIT NO
DISvONNv CT-ANDA ANDON SEWER
i - STATE ENCROACHMENT
AN,3i nR DISCSA-_ SY51 EW1 1.00 !
PERMIT'N0,
I SEPTIC TANK SEEPAGE PiT OR
z
P AOR DR. IIIF D - 2 00 INDUSTRIAL AL
C s POOLDRYWELL l A.S7E APPROVAL-
P C AL CONDITIONS ONLY 2 03 I .,CHAR L
i.
SS- _CONNECTION CHARGE FEE
FESIMT OQ
AUTHORyZATION •
_
TOTAL F d „a�' R.!MSURSEMENT FEE
� pp
I HAVETri S DATE CONTRACTED WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR'S ;GNATURE
TRACTOR TO CONNECT THE °ABOVE DESCRIBED EXISTING DWELLING
St
TO THE PUBLIC SEWER – --
-- -------
"` NE Y HOL E SEWER
SIGN THY$ A3:OF ?_ e9 _`�
O`d�'NER OR � CONNECT ADDITIONAL - —�
OWNERS AGE ' :seek- ��e. r._e'J ' _BUILDING OR LVORK -- -
'" -- SEPTIC TANK SEEPPIT($)
ADDAKSS -..�, �y �6 AND/OR DRAINFIELD
I HEREBY ACKNOWLEDGE T14AT I HAVE READ THIS APPLICATION CESSPOOL 0 DRYWELL[I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ALTER, REPAIR,SEWER OR
FLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
1 nETY CERTIFY THAT Ali PROPERLY REGISTERED AND/OR -"—
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND
CALIFORNIA OR THAT I AM THE LEGAL OWNER HE ABOVE ABANDON HOUSE SEWER 1`
DESCRIBED P_S7 D£NTIAL PROPERTY, BACKFII L S- C An,hb 6
/ .�;,� tr ya �,>L •'u�;., `1� a" CESSPOOLS _
SIGNATURE
OF PERMITTEE
WILLIAM J. FOX, CoUnI'leY ENGINEER VALIDATION
Al- 7 "7 5� APR 19 46.5 ► n
BY BY , - -
DEPUTY �^ � j .�.�:.� DEPUTY
BY BY
C£:=UTY DEPUTY