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Home My Public Portal About5137 SULTANA AVE_Sewer__'kAPPLICATION FOR ERMIT COUN" OF LOS ANGELES 1,EWER-SEWAGE DIS L DEPARTbMff OF COU TY ENC:M= HORIIJ6 AND SAFETYDTYfBION BUILDI))ppM� gRd� ADORE CASRATT D R IIf� Badmp LoelluTY NEAREST- F APPIdCANT TO MI IN CROSS sT LEGA DESCRIPTION LOT NO Q OWNER BLOCK TRACT ,� �/' DDRMAIL l9! !�I 0 F BLDGS mwrezw - SIZE OF LOT NOW ON LOT CITY TEL NO. USE BUILDINGS D17 DISTRICT N GROUP MAP OCE93 BR PO CONTRACTOR ADDRESS T ' CO CTIO ATA CITY TEL N I 0 fi� DEPTH F STATE YANHO REFERENC UPPER REGISTRATION NO COUNTY '.3 No DES CR I N F W RK FEEI/ 99 Ho SEWER CONNECTING TO PUBL C 6EWE R Q $S 00 TYPE OF CONNECTION LENGTH FROM SEPTIC T^^NK SEEPAGE PIT OR T CURB P IS TO P L —PITS.AN D/OR DRAINFIELD 0 saga / OVERFLOW SEEPAGE PIT DRAI NFIELD SPOOL DRTW Z 00 HOURS SEWER CONNECTTO O IMP NO JOB NO 1 TIF TINEN 1 DO C CONNECT ADDITIONAL BLDG OR TRUNK PERMIT NO ROAD PERMIT NO b WORK TO HOUSE SEWER 0 ALTE0. EPAIR OR ABANDON NOU9b ® 100 STATE PENT PERMIT NO INDUSTRIAL WASTAAPPROVAL OWPE'S PERNIPC 2 00 CONNECTIO RGF F66 AUTHORIZATION TOTAL FEE REIY RSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EKI ING DWELLING APPROVALS DATE INSP S SIGNATURE TO THE PUBLIC SE� SIGNED THI Y F 9_ NEW xousESEWmry OWNEROR CONNECT ADDITIONAL OWNERSAQEN7 JA el BUILDING OR WORK AOOR SEPTIC TANK SEEP PIT(S) ARD/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRTWELL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I A■ PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGE TY AND TE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT AM THE OWNER T ABOVE DESCRIBED RESIDEN PRO BACKFILL SE CTANKS ❑ SIGNATURE SEEP IT ! CESSPOOLS OF FERMI �P CL ■VALIDATION ROBERT A WOOD 0. CMIM HUPIERVIDING lSHCHANICAL BNGINNIEt L:1'02 613!9 aJ ?2 1 0 D 5.00 TEMPLE CITY """" APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1 DEPASTBUM OF COUNTY ENGINIM BUILDING AND SAFETY DMSION BulLDlna ADORES! OHN A. LANDAB C=t TY ID 6MIPPHf, HaP 1 d Dmldlep LOCALITY NEAREST FOH APPLICANT TO FILL CRD Sr LEGAL DESCRIPTION LOT NO O OWNER B C CT PAIL ADDRESS NO OF B 63 SIEH orm NOW ON LOT CITY TEL M USE DIST RICT NO GROUP Nip MP BUILDIROS BR PG CONTRACTOR ADDRESS CO CII DATA CITY NO R DEPTH SMXOIE REFE NPPE 17 REGISTRATION NO COPATE CE UNTT No I 1I11 ggESCRIPTI O OR FEE HUBL1C 6EEWIEERCONNECTING TO ! SEPTIC T XR SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM PITSAND�OR DRAI NFIELD S00 T CURB PL Y P OVERFLOW SEEPAGE PIT DpAINFIELD N P00 DR E OUSE SEWER CONNECTING TO P NO R A 01! EY CO IMP NO O JOB NO CONNECT ADDITIONAL BLDG OR TRUNK PERMIT NO ROAD PERMIT WORK TO HOUSE SEWER00 ALT RREPAIR OR ABANDON HOUSE PEAT pCOROACH VENT O R Olt DISPOSAL SYSTEM100 INDUSTR WASTE APPROVA CHARGES OwNEErg I PERMIT CONNECTION CHARGE FEE oil o IV rl AUTHORIZATION TOTAL FFE REIMBURSEMENTI HAVE AT FEB COII- TRACTOR TO CIONNECT THE ABOVE DESCRIA CONTRACT WITHTED UIST„NGHEREIAMED DWELLING APPROVALS I DATE INSPECfqRfi IGNATURE TO THE PUBLIC SEW � TP�� SIGNED THI AY OF 9JLIC NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUI LOING OR WORK ADDnrga SEPTIC TANK SEEP PIT(S) AND/OR DRAINFIELD I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL rl DRYWEL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS ALTER REPAIR SEWER SYSTEM I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR 9ISCON DISPOSAL AND LICENSED AS REQUIRED BY LOS ANGELES COU D STATE DISCONNECT FlU6 AND CALIFORNIA OR THAT I THE LEGAL OP TtlE ABANDON HOUSE SEWER DESCRIBED RESIDENTIA 0 / SECRFPIT S CCANKS U SIGNATURE OF PERM mr VALIDATION ROBERT A WOOD L M P CCUR HUF'ElV181N0 MECHANICAL MNOINERR (AC 2 6 1 4 �9 ,nit 2 2 1 1 0 2 5.0 0 x cx:t,Be v APPLICATION FOR PE MIT COUNTY OF LOS ANGMX3 SEWER—SEWAGE DIS L 1 DEPAHTAUM OF COUNTY ENCRUMI BUUMC; AND SAFETY DIVISION Du,LDW.NG 5137 N. Sultana- Tom A, LAD= Com1T &,� CASSATf D GRZPM, BTW'1 of Bundmp LOCALm FOR APPLICANT NEAREST ceoaa sr LEGAL DESCRIPTION LOT No oWRER T)- W- ghrigmqn BLOCK TRACT 51 _ MAIL ADDRESS NO OF BLDG! SIZE OF LOT NOW ON LOT CITY T: C. E NO USE OF BUILDINGS Res. DISTRICT NO GROUP YAP PROCESSED BY CONTRACTOR S are Deal Sewer Service ' ADDRESS 2 Maxeon Rd. CONNECT! N DATA CITY+ l Monte TEL NO EPTN REATE GISTRATION NO 12 COUNTY UPPER No q DESCRIPTIONR FEE TUSEBLISEWER CONNECTING TO a 00 - gEpTIC TAAXR HEEPAaE PIT OR TY OF CONNECTION LENGTH FROM PITA AN 0/0R ORA,NFIELD S 00 T CURB P L Y TOP L OVERFLOW See PAGE PIT DRAIHFIELD ERT, CESS,% L DRTW�LL MANHOLE $200 HOUSE SEWER CONNECTING TO P C NO PRIVATE DISPOSAL SYSTEM 1 00 CO IMP NO JOB NO CONNECT ADDITIONAL BLDG OR TRUNK PER IT NO ROAD PERMIT NO WORK TO HOUSE SEWER 1 00 ALTER REPAIR OR ABANDON HOUSE STATE ENCROACHY SEWER OR DISPOSAL SYSTEM 1 00 PERMIT NO INDUSTRIA APP OY L CHARGES OWNWS PEHM E 00 CONNECTION CHARGE FEE AUTHOBMTION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN HAYED CON APPROVALS DATE INSPE OR a SIGRATUB6 TRACTOR TO CONNECT THE ABOVE DESCRIBED [EXISTING DWELUM0 TO THE PUBLIC SEWER SIGNED THIS------DAY OF )R_ NEW House SEWER 4 ,. OWNER OR CONNECT ADDITIONAL OWNERS AGENT N6jII BUILDING OR WORK SEPTIC TANK SEEP PIT($) ADDRESS AND/OR DRAIHFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU CESSPOOL DRTWELL rl WITH ALL COUNT ORDINANCES AND STATE LAMS REGULATING ALTER REPAIR SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED ARD/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AN THE LEGAL OMXER F THE ABOVE DESCRIBED RESIDENTIAL PROPERT ACKF15 PLT SETC TANKS u SIGNATURE OF PERYI m. ATION ROBERTA WOOD a[ ■ a eAAK SUPERVISING MECHANICAL ENOINEER jt&z 7 9 IS U'l 27 1 0 5.0/ 0 :9 APPLICA ION FOR P TRMIT, , 1 eLwR �� COUNTT OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTBUM OF COIINTT MGM= - - SII=MG AND SAFI= DIVISION eu1 LDING ADD86SS• 5137 N. SultAna cao 1S D 6RRPW, Boa9 0!BaDip LOCALITY T�mple City O i cIIaAosas aT Serend NG DLIPFION LOT A OWNER 6. W. Ehritqmqn BLOCK TRACT - / Z-/ YEEDAOREss 1 N. Sultana N0 OF SLOGS SIZE OF LOT NOW ON LOT TEL N BOF UILDIKGS ES• DISTRICT NO GROUP YAP PROCESSED BY CONTRACTORAWAr ririCe S /o7 ADcsLss 2 Maxx on Rd. coNNE/// =Ox DAlA CITY El Monte TE rL7 KO DEPTH REGISTRATION NO !0 CUUT1TY N OLB RLFERENCL PPER No DESCRIFYION OF WORK FEL aaHEEOUSCS�WE1( RSSCEEOEENppNEQQCggTING TO S PIT�B AX,INK DRAINFIELDT OR S TYPE OF CONNECTION LENGTH FROM / T CURB P L. Y L TO P L OVERFLOW SEEPAGE PIT.DBAINFIELD ELTN CESSPOOL DRTWELL MANHOLLEE Z 00 D HOUSE SEWER CONNECTING TO P C No PRIVATE DISPOSAL SYSTEM 11 DO CO IMF NO JOB NO CONNECT ADDITIONAL BLDG OR TRUNK PERMIT KO ROAD PERMIT NO WORK TOpp HOUSE SEW ER�11pppp 1 00 E� OR DISPOSAL STSTEY HOUDL 1 00 STATE ENC ACIIMENT PERMIT NO 1 Saddle 25100 IXDUSTRIA M APPROY CHARGES OWNS PED T C CONNECTION CHARGE FEE AUTHOMATION TOTAL FEE 25 OO REIYBURIIEYLXT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON AFPfiOVALS DATE INSPECTOR S SIONATUBL - TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER SIGNED THIS DAY OF Iy_ NEW HOUSE SEWER — OWNER OR CONNECT ADDITIONAL OWNERS AGE BUILDING OR WORK ew SEPTIC TANK SEEP,PIT(S) ADDerirt AN0.D//OR ORAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY CESSPOOL Q DRTWELL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER OR - PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTYSTATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT 1 AN THE LEGAL OWNER 0 ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILLSIC TAN"❑ SIGNATURH PIT CESS L!E31 1 OF PERM nTEE-Z 'gi�4 — 1 7 1, m� ATION _ ROBERTA WOOD Cc ■ o CASR `SUPLTTVISINO PSRCHMICAL.ENGINEEPt �riEo 27922 f 2 7 1 1 D 2 5.0 0