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HomeMy Public PortalAbout5466 TEMPLE CITY BLVD_Sewer__ CTeweAEBOS3so e! APPLICATION OR PERMIT {� u COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONV�TY wna ]O@7 A L)GZ, Com Pa E[rw¢➢➢ WILLUIM A rE"= spv i d BiuldmvL uTYR8ETFOR APPLICANT TO FILL D i3° °*Ap¢ECRIPT ION LOT NO !/JRLO I Tll 9 RACT /\ glf9DO\ N /EIZB OF LOT NOW O OT 1/BUI 01RICT NO OROU■ MAP PROCCE➢ED RY BUILDINGSEK PGCONTRACTORO -JADORE CONNECTION DATA CITY TEL NoION DEPTH REGISTRATION NOHOL[RIIERENCE NO DESCRIPTION OF WORK IEETYPE OF CONNECTION LENGTH FROMHOUSE SEWER CONNECTING TO CURE ML TO P L PUELICS[WER • $S GO SEPTIC TANK °[¢PAGE PIT OR _ PITS ANO/OR GRAINFIELD f1000 CO IM" NO p[�� JOE HO HOUSE SEWER CONN ECTINO TO TRUNK PERMIT NO ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM $300 CONNECT ADDITIONAL SLOG OR AFFIDAVIT I RAITI•I [.V.RYNT RECORD IN HO DATE WORK TO HOUSE SEWER 0 f300 OVERFLOW SEEPAGE PIT GRAINFIELD EETN CESSPOOL DRYW¢LL MANHOLE O 3300 ALTER "[PAIR ORA HOUSE HV VY OR ST WIDENING SEWER OR DISPOSAL SYSTEM C saw STATE ENCROACHMENT PERMIT NO INOUETRIAL WASTE APPROVAL OwNEKS PERMIT s s 00 CONNECTION CHARGE PES AUTHOAIZATION TOTAL FEE 1 HAVE AT THIS OAT! A CONTRACT WITH THE HEREIN COM RIIMEU flSEMEXT IC�E)�.TRACTOR TO CONN CT THC AEOV[ O[BCRILLINg �PROV!\!7TO THE PUBLICE Eq OATS INSPECTOR E EIO TU E SIGNED THIS DAY OPIBOWNER Oq NEW HOUSE SEWS"OWNERS AGENT CONNECT ADDITIONAL ADORIB BUILDING OR WORK HEREBY ACKNOWLEDGE THAT I HAVE ATION I. BNO/OR GRAANK EFIE PITS) NO/OR pRAINFIELO AND STATE THAT THE A[OVE IS CORRECT OMPLY WITH ALL COUNTY ORDqNANCES AND STATE L IIGULATING PLUM EIMO AND S CESSPOOL ElORYWELL ❑ I HERESY CC HAT 1 AM Y R[OIR¢RED AND/O ALTER REPAIR BIWEROR LICENSED Al R R[D BY LO AN OUNTY ND STAT[ SEWAGE DISPOSAL SYSTEM CALF FOR IA O AT I AM THE LEGAL W ER O INT[ O DIBCOHN[CT PLUG AND RCSIOE 1 E A OVE DESCgI ED IO TIA EgTY AEAryGON HOUSE 3[WHR EIGNA [ BACKFILL SEPTIC TANKS , P[ SEEP PITIB/ ❑ CEESPO❑OL! ` ROBE T A I D CK y G SUPERVISING MECHANICAL ENGINEER L,IC.0996TG JAM 2210 D 7.00 -