HomeMy Public PortalAbout5558-5560 1/2 SULTANA AVE_Sewer__ DEPAILTAKENT OF OOUNTY ENGINEER ; SEWER-SEWAGE DISPOSAL 1
DIVISION OF BUELDING AND SAFETY" PERMIT APPLICATION
C�iN OF LOS ANGELES 7
4• !tWILL1AM J. FOX. COUNTY ENOIN[[R I ADDRESS
�A�CANT TO FILL
IN I LOCALITY
ADDRESS Fo , NEAREST
CROBB ST
LOCALITY L(L ( DISTRICT NO. SERIAL NO PERMIT NO
NEAREST A V S S
CROSS 8T
RECEIVED BY Rudy Ir Iup"U" DATE ISSUED
OWNER Q _
tlAIL USE E OCCUP NCV MAP
ADDRESS BIF�, PC
,CITYOt" TEL NO J^
CONTRACTOR {.. CO.IMP NO / '.•� U
ADDRESS� L' `Qp�.� ��L � JOB NO
CITY i TEL NO TRUNK PERMIT NO '
STATE
REGISTRATION NO COUNTY ROAD PERMIT NO
LEGAL j�•C� ��0�4� STATE ENCROACHMENT
DESCRIPTION LOT KO -I�.a.•++� �, ` •PERMIT NO
BLOCK TRACT T'4 IVW Ili Lr� INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT NO OF 8LD08
ALU NOWpNLOT
CHARGES
USE OF
BUILDINGS '� � ` L� CONNECTION CHARGE FE[
NO DEHC IPTION OF WORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE
PUBLIC SEWER ® L 860 RECEIPT NO DATE IBY
NO UBE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 100
CONNEC AD ITIONAL BL B OB EXCEPTION RECORDED
WORK TO HOUSE SEWER - 100
ALTER OR REPAIREXISTING —` NO DATE BY
SEWER OR DISPOSAL SYSTEM 100
DISCONNECT AND ABANDON SEWER
ANO/OR DISPOSAL SYSTEM 100 CONNECT ON DATA
e PT 0 TANK BE PAGE PIT OR
PITS AND/OR
DRAIMFIELD 400 STATION �� DEPTX
CESSPOOL KTWELL
SPECIAL CONDITIONBONLY 400 IA UPPER EFERENC d
Pi, WINES.
Y TYPE OF CONNECTION NEL TO P FROdr I /
OWNERS PERMIT f I GO
AUTHORIZATION TOTAL FEE
I HAVE THIS DATE CONTRACTED WITH THE HEflE N NAMED
HAVE
TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO irg PUBLIC WF '%�:
MEW HOUSE SEWER6NEDTHIS DAYI OWNER OR CONVECT ADDITIONAL
OWNERS ABEN _ _.,- _ BUILDING OR WORK
1 _
SEPTIC TANK,BEEP PIT(8)
ADDRESS_ -- -•�� AND/OR TANK,SEEP
LD
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL[] DRYWELL
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS ALTER REPAIR SEWER OR
REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED DISCONNECT PLUG AND
AMD/OR LIOENSED A REQUIRED BY LOS ANGELES COUNTY
AMD STATE OF CA RM TH T I AM THE EG OW ABANDON HOUSE SEWER
ER OF TRE ABOV DENTI RACK L EPTICTANK �I
818NATURE ` SEEP PIT(8)Q OE88POO nEI
MINIBOOM
IS OF PERMITTEE— -
T""w an vw
DEPAI[TMENT OF COUNTY ENOINIM ' SEWER—SEWAGE DISPOSAL _
DIVISION OF BUMDING AND SAFETY 5a p RMIT APPLICATION
COUNTY OF LOS ANOET iL
WILLIAM J. FOX, COUNTY ENGINEER I pBOuDRES8Dixe ra c r' ci )
L�«a1n^"R
FOR APPLICANT TO IL I LOCALITY----r-, C .
BUILDIxG NEAREST
ADDRESS CROSS ST
LOCALITY DISTRICT NO SERIAL NO PERMIT NO
NEAREST �— S A I '�, -S
CROSS ST
CEIVED BY Ready fly Iospwlon DATH I UED
OWNER
MAIL
ADDRESS USE 20 OCCUPANCY MAP ax BK PO
CITY i TEL NO
CONTRACTOR O CO IMP NO I 3�Z ZB
ADDRESS/ JOB NO
CITY TEL NO d TRUNK PERMIT NO
REGISTRATION NO ROAD PERMIT NO ^
LEGAL STATE ENCROACHMENT
DESCRIPTION LOT NO PERMIT NO
BLOCK TRACT INDUSTRIAL
WASTE APPROVAL
BISH OF LOT NO OF BLD08
NOW ON LOT CHARGES
USE OF /
BUILDINGS COMYECTI ARGE FEE
NO DrLEICRIPTION OF WORK FEE
HOUSESEWER CONNECTING TO REIMBURSEMENT FE
PUBLIOSEWER a $ 550 RECEIPT NO H BY
PRIVATE DISPOSAL SYSTEM TO 100
HOUSE SEWER CONNECT ADDITIONAL SOO OR E% ION RECORDE
WORK TO HOUSE SEWER I I OD
ALTER OR REPAIRDATE S
SEWER OR DISPOSAL SYSTEM 100
DISCONNECT AND ABANDON SEWER
ANO OR DISPOSAL SYSTEM 100 --� CONNECTION DATA
P IDT M EEPAGE PIT OR
PITS AMD OR GRAINFIELD 300 STATION PTH
SPECIAL CONDITOMOCESSPOOL-DFtyWELONLY SD0 UPPER EFERENCE OWER
TYPE Ok CONNECTION LENGTH FROM C—
OWNERS PERMIT : 100 Y CURB P L ^M L TO P L
AUTHORIZATION TOTAL FEE d CJ P I ` n V
' 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
,t CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLIC 99WEfl
SIGNED THIS DAY OF —19_ NEW HOUSE SEWER
OWNER OR CONNECT ADDITIONAL
OR WORKAL
OWNERS AGENT _ Y�
- -_ -_
' ADDRESS _
SEPTIC TANK BEEP PIT(8)
- - - - - - ---- - - - - - - ANO/OR GRAINFIELD
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL DRYWELL
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR SEWER OR
REGULATING PLUMBING AND SEWERS SEWAGE D18P06AL SYSTEM
! 1 HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED DISCONNECT NJ PLUG AND
-AM
LICENSED AS
RE InEO BY L08 ANG LIES COUNTY ABANDON HOUSE SEWER
AMD STATE OF CALIFORN 0 I AM T lEOAI OWN-
ER OF THE ABO OE IAL BOP[RTY. B F TIC TANK
SIGNATURE SEEP PIT(S)o CESSPOOLY
OF PERMITT
75A"M 55[ 7/55 61 &,