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Home My Public Portal About5114 SULTANA AVE_Sewer__ DEPARTMENT OF COUNTY ENGDn= SEWER--SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX. CO T UNTY ENGINEER BUILDING CADBATGRIFFIN Buvr ov SulLoiNo ADDRESS R APPLICANT TO RLL IN LOCALITY BUILDING / ADDRESS /{ Y CERO888T LOCALITY r, 4 D18TRICT NO SERIAL NO PERMIT NO NEAREST A �6z S CRO88 ST �O RECEIVED Y Rea*'f"Inmm"on DATEISSUED OWNER 1. `� '7— T'_MAIL .l ADDRESS •< < USEZONE OCCUPANCY MAP BK PB CITY JTEL NO A CONTRACTOR _� • dCHARGES REIMBURSEMENT FEE ADDRESS 3 REQUIRED NOT REQUIRED CITU TEL NO JOB.NO CONNECTION CHARGE FEE IF REGISTRATION NO STA F COUNTY CO IMP NO LEGAL RECEIPT YO DATE BY DESCRIPTION LOT NO BLOCK TRACT WAIVER FOR RECORDING SIZE OF LOT NO OF SLOGS USE NOW ON LOT RECEIPT NO DATE BY BUILDINGS } NO DESCRIPTION OF WORK FEE TRUNK PERMIT NO NOUSESEWfiR CONNECTINGTO ROAD PERM IT NO BLIOSEWER 08 180 HOUSE SEWER CONNECTING TO STATE ENCROACHMENT PRIVATE DISPOSALAYSTEM 100 PERMIT NO C NN CT ADDITIONAL BLDG O J INDUSTRIAL WORK TO HOUSE SEWER I OD WASTE APPROVAL ALTEROR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM I00 CONNECTION DATA DISCONNECT AND ARANDON SEWER AMD/OR DISPOSAL SYSTEM 100 STATION DEPTH PTIC TANK BE P BE PIT OR PITS AND/OR GRAINFIELD 2.00 QQMANHOLE REFERENCE CESSPOOL—DRYWELL UPPER LOWER SPECIAL CONDITIONS ONLY 2-00 TYPE OF CONNECTION LENGTH FROM Y CURB PL NL TOPL OWNERS PERMIT s I DD AUTHORIZATION I TOTAL FEE I elope? 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTO WS,1IG NATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS _ _ DAY OF _ _ 19 _ NEW HOUSE SEWER _ 4 it OWNER OR CONNECT ADDITIONAL OWNERS AGENT _ .. _ _ _ BUILDINGORWORK ADDRESS _ _ __ SEPTIOTANK BEEP PIT(8) ' - AMD/OR DRAINF LD n I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLI. CESSPOOL ORYWELL TOTCOMRPLY WITHTALL THAT ORDINANCESSAND STATEAND ALAWB EI REGULATING PLUMBING AND SEWERS. ALTER DISPOSAL I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED SEWAGE DISPOSAL SYSTEM AMD/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY DISCONNECT PLUG AND AYD STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL EPTICTANKW SIGNATURE ��% • BEEP PIT(8)Ei CESSPOO �� OF PERMITTEE 76AO42D 663 12/52 1 LERDR $ TGAeazO B$ APPLICATION FOR PER T COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL - DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING 5I ' I f u�..c�f JOHN A LA\IRU C...ty F.Sn r ADDRESS �L ('OI!\NN B Jf NAINS Sup[ a( BGlldmg LOCALITY li NEAR69T FOR APPLICANT TO FUL IN GROSS Br LEGAL ( L 1 L D[BCRIPfION LOT NO p OWNER l MAIL C BLOK TRACT S. ,6 IZ- I ADDRESS c— '56' ` NO OF OBL006 II 812E OF LOT ' 56 NOW ON LOT CITY TEL NO I� USE OR BUILDINGS DISTRICT NO OROU MAP PROCESSED BY ....JJ l6 1 BK PO CONTRACTOR // ADDRESS X-C CONNECTION DATA �L- CITY G L NO 6 STATION DEPTH LICENSE LIC NSE UPPER NO CLASS MANHOLE REFERENCE LOWER NO DESCRIPTION OF WORK FEE TYPE OF CORRECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CUR[ PL ML TOPIL PUBLIC SEWER 8' $ S 00 SEPT L PC NO d PITS ANO/OR GRAINFIELD G $10 00 CO IMP NO JOB NO O HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO V PRIVATE CIS PMAL SYSTEM F $ 3 DO K CONNECT ADDITIONAL �M) AFFIDAVIT FAI[[[ u[[II[Yf RECORD INSTR NO DATE O WORK TO HOUSE SEWER P $ 3 00ALTLN REPAIR U NOON HOUSE 1/{/ SEWER OR DISPOSAL SYSTEM F $ 3 00 ty, HWY GRIST WIDENING D- EMTN CESSPOOL MANHOLE F $ S00 N STATE ENCROACHMENT T. PERCOLATION TEST f $ S 00 PERMIT NO INDUSTRIAL WAST[APPROVAL OwNER's CHARGES .•l,LCL PERMIT' s z o0 AUTHORIZATION TOTAL FEEJAP�ICATION CONNECTION CHARGE FE[ I HAVE AT THIS DATE A CONTRACT WITH THE HEREREIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISG APPROVALS TO THE PUBLIC SEWER DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF OWNER OR NEW HOUR[SEWER OWNERS AGENT CONNECT ADDITIONAL ADORERS BUILDING OR WORK 7-LJ EPTII HEREBY ACKNOWLEDGE THAT I HAV[ RGO THAND/CTANK 86EP PIT(61 ANO/Ofl DRAINFI[LD ANO STAT[ THAT THE ABOVE 16 CORflECT ANO AOYWITH ALL COUNTY ORDINANCESANO STATE LAWG PLUMBING AND SEWERS CESSPOOL ❑ DRYW ELL ❑ 1 HEREBY CERTIFY THAT 1 AN PROPERLY OISTERCO AND/OR ALTER REPAIR SEWER OR LICENSED AS REQUIRED BY L06 ANGLE CO Y AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT TH LEGAL N OF ANO NTEN0 TO DISCONNECT PLUG AND RE81 DE IN THE ABOV [SC 0 R C IAL PR ABANDON HOUSE BEWCR 810NATUflE l OF PERMITTEE SEEP PPL 5) El TANKS ❑ SEEP PIT(8) ❑ CESSPOOLS AL M 0 C LK M O CASH LA�03 0 9 0Z2 JUN 27 1 0 D 5.00" Q //e /y0/v / SXe c, tY l o/yo`C�AP LIGATIONORP RMIT we 7 COUNTY OF L08 ANGELES SEWER—SEWAGE DISPOSAL i DEPABTDENT OF COVNTY ENGnmm BIIBAII7G AND SAFETY DrvimoN BUILDING ADDRESS 04- ^'•• D ""r'• of SnUdbv LOCALITY , NEARElT (�' TO � CRO11 LEGAL pYNEN DESCRIPTION LOT N J�/�/•� BLOCK TRACT _ RAIL W. r ADDRESS A 4EW SIEE OF LOT O NOW ON LOTS ITTTIL NO •��+- USE OF BUILDING DISTRI� GROUP BK YAP P4 P CEBSED CONTRACTOR ADORES! CONNECTION JDATA CITY NO STATION Dim STATEP REGISTRATION NO COUNTY MANHOLE REFERENCE O I NoI 111DIyEE RIP F WORK FEE PUBLICS�ERCONNECTING TO 1p SS 00 LENGTSEPTICTANK SEEPAGE PIT OR TYPE OF CONNECT B 0LTO P FROM / ' PITS AND/ORDRAINFIELD T CURP OVERFLOW SEEPAGERP DRAIRFIBLD 1 0 HOUSE SEWER CONNECTIN G TO FOR RO PRIVATE ET //,� P L1L1T�I� 1 00 CO IMP NO JOB NO WORK TO NOUlEIjEWER LDG OR1100 TRUNK PERMIT NO R PERMIT NO A T PAIR OR BAND N HOU STA NCROACHYENT DISSYSTPOSAf 00 PERYI INDUSTRIAL WASTE APPROVAL CHARGES OWNER'S FEBNST CONNECTI CHARGE FEE AUTHORIZATION I TOTAL PEE REIMBURSEMENT FEE TRACTOR TO CIONNECT THE ABOVH DESCRIBED EXISTIINGDATE A CONTRAWITH THE HEREINANED DWE"MR AMOV DATE INSPECTOR 8SIGNATURE TO THE PUBLIC !EWER SIGNED THIS DAY OF '9_ NEW HOUSE SEWER — I, OWNER OR CONNECT ADDITIONAL OWNERS AGBNT BUILDING OR WORK ADDRESS lEFTIC TANK SEEP PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAYS READ THIS APPLICATION , AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL 0 DRYWELL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS ALTER REPAIR D I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR SEWAGE DISPOSAL SYSTEM M UCKNSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT I AY THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTIAPeOPERTY BACKFILL SE C YANKS SIGNATURE ' SEEP PITS CESSPOO Y OF KRYI �r �IALmA'('10ROBERT A WOOD CL ■ O CUR YUPLRV/RINO YHCFIANICJLL RNOINRei L117 12 6S MA4t 2 1 0 A 5.00 rs