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Home My WebLink About1407A � ,: e+.� 76A647D CEBOBIREV.6;78;.!'79 �p��(��4�1 �� I� @1 � �r l o7a�Y�l�SY " J'�1I1�f9kJ� L.�[�E"V�H� COUNTY OF La5 AhJ�Et�S �Uff.�it�tt's AMD SA�ETY • ; . ,: ,. ..,.,,� ,... �.��-.:��. � FOR APPLICANT T(3 i�9l�l IN ��,TA��r r:o /yp�r or MFo • . PROCESSF.D�Y � �!J�✓/ r.� }.. F, ///yyyd BVILDING � f . � � � �{ � ,f.��/�+� � �/////��'�/' I ADORE55 ��.��G4I _ �� FV� �� v� dV� LOCALITY � � . . . �'��,_;��Q�1+��Taon�QAaA NEAREST � " " � STATION ,��s L ❑EPTH � CRO55 5T. �=—� °�� /� y 0,.� /"J" " MANFtOLEREFER�NCE <�� !� r PER OWNE � ` f'y � ___._ f� W__ LO R ` y��.�r_^32�__ TVPE OF CONNFCTIOM LENGTH FROM MAIL �'1/� n/,/ � �9��¢/ �(/j7� Y GUREi �-'°P L�j M.L.TO P.L. AODRESS�V 4'C.`/ t � �.J+3.4cWal—,lS.d:�`� — _ —L-.�r:� - 7 . .G'�� I�7 � GO IMK'.ND. Po8 VO �af:.�a.�J CITY ° 7EL.NO. _ � ,•._`_� ---------- LEGAL ' �:1 � TRUNK PERM7Y NQ ROAD PFRM17 NO DESCRIPTIO�J LOT VO. J � � ��r AFFIDAVII�J/n�•:L�� [:..�Flr'�!' RF_COF(7.tNSTH.NO. DATE BLOGK TRAGT D __^___ I{ Gf ` ' " ND.OF ALDGS. �' `--'-"—" SIZEOFLOT NOWONLOT !*WY.OR:T WICIENING USE OF ' " � . - . . — BUILDINGS STAT�ENCROACHM'r.:NT _,__ ,_ PERM7T NO CONTRACTqR ::��15TRlAL � U C�J7 tNA57E APPROVAi. t �_'"__ ADDRE55 I 'J �_�--i� (...7 ^_+ __,_�____ CNARGES I � � �G�J� CONf�lEC'fiON CHARfiE FEL GITY TEL.NO.�.� .� �j .�_..'___'"'__ _ � �'_" STATE i ; LIG. �/ � REIiJIflIJR_SEMENTFFE � LICENSE NO. � � �� :� : CLASS �-�i(^. _ __ �-- ,y NO. DESCRIP710N OF WORK FEE ��pRp�p�,y DA'i'c INS f TOR'S SIGN URE � HOUSE SEWER CONNECTING TO �r9 --^�-�--- B`°° PUBLICSEWER ' �. �1 y�'� / y „� � SEPTICTANK;SEEPAGEPITOR�� hEW HOUiF SEWER y� $�.. PITS ANO/OR DRAINFIEID� '� � CONNGC_T ADOfT.OPJAL � `�� ^ � Fi0U5E SEWER CONNECTING 70 ^ BUIL^vIMG CR N'ORK � 4y� PRIVATE�ISPOSAL SYSTEM ' ��' --------{ •� CONNECTAODITIONAL9LOG.OR `�C!'*�G'iAf�K,SE'EF,PIT�S) I � —_' i ANO�ORQR41NF3ELC `__ WORK TO HOUSE SEWER y "'" OVERFLOW SEEPAGE PIT,DRRINFIFLD C E5:-�f�COL [1 DFiYwEi_i_� EXTN.,CESSPOOL,�RYWELL.M�ANNOI_E -- ALTER,'REPAIRORABANDONi10V5E I ALTFR.t'aEPAIR.'iF.YJEROR SEWER OR O15POSAL SVST@M _,EYYAGE�iSPOSAL SVST[M . � . � ' 'i':�::: D{SCONNEC;T PL.II:AND—" -- ` . ,. _ „ --� A9ANOC)N I1011�iE SEW£7 ' �ACKFI�!..SE.PTIC TANNS('_i SEE!',PITI'I�, GESSPOOIS�,_ �WNER'S Permi'. 5�� f �' a�;�r..-�..�� . �..�.�_ , .:._ . .. AUTHORIZATiC3N TOTA,I F�E ��---6 �� VALIDATlpN �.,.�..�`a I HAVE AT THIS DATE A CqNTRACT WITN THE HERf-:IN NAp,1ED CON= TRAG70R TO CONNECT THE ABOVlE DESCRIBED EKISTINC-._DWELLING ' .,' 1J �r �� TOTHE PU6LIC SE j� `: � 516NEDTHI� � DAV�� F ._79�`�'' r; � � ,: .p •` .. OWNEROR �I�J6�-e�=�e�— �. . �. OWNERS AGENT ADORE55 1e • ' � f�•: I HEREBY ACKN LEDGE THAT 1 HaVE REAO l'HI5 APPLIGATION - -5 :) . �.l. AND STATE THAT THE ABOVE IS GOR:dEGT AN�AGREE TO COMPLY �� ' �' `� '- WITM ALL GOUNTY OiiDINANCES ANp STATE I.AWS REG:JLATING PW MBING AND SEWERS. ' �: � I HEREBY CERTIFV THAT I AM�PFtOPERLY REGlSTFRE❑ AIVC/OR .. �.- I . '�C i IICENSED AS RE�UIRED BV LOS ANGELES COIINTY ANO STATC:OF CALIFOftNlp ORTHAT 1 AM TNE LFGAL OWNER OF,AND IIVTF_NDTQ RE� SICNATURE RESIpENT PROPERTY OFPERMITTEE � r RIBE __. . ��=<"��::;��,�?,�'s��a":.�aE :^k�.1�:9:r.:.'6..:2,1'6•'i av�yY'i^^x�°��".y .5�">>EiJ�.:� `i�!..��. 1 � - , ,.,, .. . . . - __.__�_,..------------___._______u..______ ._.._...__—t , I�iJIC,,,��!= Nt� ��..f'!.i:�i�' C�i',l r2�{��Li�T`I i +yS � f .� P. :l I'. 'L: ��. L. {�:�.:!G,l4.!k r �rta :?� `:C�ti t:lt` J�.°�J,-��_ +�1C'.^.��ji�.. � , .�a'1`�Sa�l;� ',;�!�'i';a T;.� �iCT.�1\ivt:� s.) ,'r'cli�LF:,�in?GS � /-1�`!`,.��t'.4✓��i i�!.!V'.C:?. � _ ` . � Y,I � i '.?.lr�arlC,-�,?� ^,i�i� ^.,�. �.�::� ;ii'.'ii=.i�:i;.['r;�'ii-; J; ,._Ei' ! � { � +�i��PiS(:�i :`�',�_.. ,_ - `.I_:;i77lw�+,ii..:i}. , , . i 4. IiJUi;.:%�",..:'J4r%t`:-�"�iK¢=a: ic"xi*.i�-�*��=�.t�i_ ( ;� 5. ;�e}1;!i�x-it':fi�.:i�i-�s?".=i:i;�irC:,t�:;,.,.�;; � , .., .. y.., . .. ... y. � . I;I � , . � �. a p a. � � , i ., .. .; .';� � „ ... . .. � �., � , :_ . ; � ._.�.._..�...., ..�.__�..,�x.�x�.__�.._,.s.�_.=. __._...�.�.__.__._,_._� r �..� _�� ST. �LLE',';��;^f ..—=-...�_____-__:�,._-_�_:�.—._��_�--_-��=�__._.��___ .� _--_.�_,_.. _.._._._..-----___.____._r__.�___._....._....__.�._..�......_... , F!E1�[;�'J�� .w. +�.i.+....... , �+...�..........�...�...�......_.....�.�...,.......e......................��.......�..�...�..�..m.. .n.......�4.....m -� ' i. ,'I� . �.., w.