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Home My Public Portal About10833 ARROWOOD ST_Sewer__ DEPAWfMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER I BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY / BUILDING NEAREST ADDRESS 10833 Arrowood CROSS ST. LOCALITY Temple City, Calif. DISTRICT N SERIAL N0. PERMIT NO NEAREST. Daleview A �� S IVED BY Ready for Inspection DATE ISSUED OWNER R � fod Hall /� MAIL ADDRESS lµ22 S. Main, Apt. #2 USE ZONEOCCUPANCY I MAP CITY Las Vegas, - 6364 I BK PG Ne�vl+lD CONTRACTORM. C. Nottingham Co. , of T.C. CO.IMP.N0. ADDRESS 5933 N. Cloverly Ave. JOB N0. CITY Temple City TEL.NO.Cu. 32270 / TRUNK PERMIT N0. ( G 7 E3 COUNTY REGISTRATION NO. / ROAD PERMIT N0. LEGAL DESCRIPTION LOT N0. 37 STATE ENCROACHMENT �q,q PERMIT N0. BLOCK TRACT } /440Z40 INDUSTRIAL WASTE APPROVAL NO.OF BLOBS. SIZE OF LOT X 13.3 NOW ON LOT 1 CHARGES USE OF BUILDINGS Residence CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ $ 3.50 RECEIPT NO. I DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO- DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS....... D OF... .............101 NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT_ -_ -_-_._ -__ _______----------------- _ BUILDING OR WORK ............... ________________ SEPTIC TANK,SEEP.PIT(S) ADDRESS -••-•------•-•••--___ l_�- - AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE REA S 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 DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECTDAND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANON HOPLUG PLUG AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DE/SCC�RI13ED RE PROPERTY. BACKFILL SEPTIC TANKS r �}I/J/ % SEEP.PIT(S)o CESSPOOLS OF'PE ITTEE 4?�h✓( , A .' 76A6421) 663 1/53 FO D S&E-669 11.55 APPLICATION FOR PERMIT 1 S&E-6 ' DIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDI SG 3 3 O wi` JOHN A. LAMBIE, COUNTY ENGINEER — / y► ® CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST 214 /e- LEGAL DESCRIPTI N LOT NO. MA L OWNER J,� �Jr�QS D„ f..E��:hP1• BLOCK TRACT AD RES$ v �c:�C'h wes f SIZE OF LOT (� „s ,` NOW ON LOTS CITY Cif TEL. NO. !1 f t �. USE DINGS BUILDIDISTRICT NO. GROUP MAP J7 BK PG CONTRACTOR _ ADDRESS S CONNECTION DATA CITY A TEL. N0. Q (� i�� STATION DEPTH MANHOLE REFERENCE_,.. 1� UPPER LaL� ❑ STATE -il�YiGR^. REGISTRATION NO. ❑ COUNTY NO. DESCRIPTION OF WORK FEE - HOUSE SEWER CONNECTING TO TYPE OF CONNECTIO LENGTH FROM PUBLIC SEWER @ $34MY. CURB P.L. 1 M.L. TO P.L. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD P. C, NO. i EXTN.,CESSPOOL,DRYWELL,l�EQi $2.00 _CO. IMP. NO. � L� JOB NO. i HOUSE SEWER CONNECTING TO i PRIVATE DISPOSAL SYSTEM @ $1.00 _TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT i WORK TO HOUSE SEWER @ $1.00 PERMIT NO. ALTER,REPAIR OR ABANDON SEWER OR DISPOSAL SYSTEM HOUSE @ $1.00 INDUSTRIAL WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'SPERMIT $ 00 AUTHORIZATION I TOTAL FEE REIMBURSEMENT FEE IHAYE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECT2LeSSiGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING / TO THE PUBLIC SEWER. NEW HOUSE SEWER /,.: � SIGNED THIS- DAY ;OF 1p 19 CONNECT ADDITIONAL OOWNER WNERS AGENT ) �/J BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADDRESS16 tv esr-' AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CESSPOOL F-1DRYWELL ElAND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE _ DESCRIBED RESIDENTIA PR PERTY: BACKFILL SEPTIC TANKS❑- J � SEEP.PITS) ❑ CESSPOO 5�]_ SIGNATURE OF PERMITTEE JOHN A. LAMBI COUNTY ENGINEER VALIDATIO ROBERT A.WOOD, CHIEF PLEIG. INSPECTOR CK. M.0. CASN " , 7 — C ' r'' 2 0 n 5 's