HomeMy Public PortalAbout5318 WELLAND AVE_Sewer__ 9aE-66H 111.3.9D APPLICATION FOR PERMIT
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DIVISION OF BUILDING AND SAFETY SEWER-SEWA D I S POSA L
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, C.OU114TY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUP'T OF BUILDING - LOCALITY
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N EARk ST
FOR APPLICANT TO FILL IN CROSS ST
LEGAL
DESCRIPTION LOT N0. OWNER
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BLOCK TRACT ADDRESS
4--�- NO. OF BLDGS. CITY --- --- TEL. NO.. ..
SIZE OF LOT NOW ON LOT
USE OF -
BUILDINGS DISTRICT NO. GROUP MAP
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CONTRACTOR
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— CONNECTION DATA
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CITY t� x �T}L . V- - MANHOLE REFERENCE y � �7 UPPER
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REGISTRATION NO.
Na_ DESCRIPTION OF WORK FEE ----- ='—.--- --
HOUSF SEWER CCNNEG'PING TO I TYPE OF TION LENGTH FROM
PUBLIC_SF,WER @g> Y. R P,L. M.L.70 P.L.
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SEPTIC TANK,SEEPAGE PIT OR `!� _—
_ _PITS AND/OR DRAINFIELD C?' $: