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HomeMy Public PortalAbout5729 CAMELLIA AVE_Sewer__' \ DI:PAWnMgT OF OOUNTY XNMWX= DSEWERr-SEWAGE DISPOSAL 1 0 IVYSION OF HIIII..DING AI!�D SAFETY PERMIT APPLICATION OOUNTY OF LOS ANGICr.>rcla WILLIAM J. FOX, CouNrr ENOINECR BUILDING ��� �/ j/ Ave.aANlLATT ORIFr-IN Mup"T of ■uI I S&ADDR[ 1Y FOR APPLICANT T LDQALITY BUILDING NEAREST ADDRESS C80E8 ST. 1 Ov" 17 LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO, NEAREST A 2�O 39 CROSS RECEIVED BY geadY far IaspmUs* DATE ISSUED OWNER MAIL Y USE ZONE OOCUPANGY YAP ADBRESS BK PB 01 OONTMCTOR + 77 ORARIB ES RHlMBURSYiMENT FEE 49, ADDRESS ���� ]l REQUIRED `J NOT REQUIRED CITY 7<r7? TELNW.rr*' T3L/ JOB NO. CONNECTION CHARGE FEE TE REGISTRATION NO. y'Z 7y'� OO.IMP.N0./ - LEGAL *,-'T07 REOEIPT NO. DATE BY DESCRIPTION LOT NO. .6—C-8 BLOCK --- TRACT Za,�_CO / WAIVER FOR RECORDING SIZE OF LOT LORECEIPT DATIl BYNO0OFBLDT . NW OM USE OF BUILDINGS TRUNK PERMIT NO. No_ DE C IPT613N OF WORK FEE HO 6t*Ewkk CommUrrikaROX11PERMIT NO... - PUBLICSEWER • 1 a_bS HOU vEwKk bomWfoIMG STATE ENCROACHMENT PRIVATE DISPOI%AL SYSTEM I.M PERMIT N0. IoNAL BLDG.Ok INDUSTRIAL' WQRX TO HOUSES lXWER I.M WASTE APPROVAL ALTIEFt OR REPAIR lExiSTiNe aEW R OR DISPOSALSYSTEM M CONNECTION DATA NM ABANDON SEWER I STATION 32-25, DKPW AMD ORDIBPOEAL8YETHM I.N � PTICTANK,SEEPAGE PIT OR PITS ND OB DNAINFIELD 2.M UPPER LE F RH E O � � CESSPOOL--0 LL / SPECIAL CONDITIONS ONLY 2-H TYPE OF. N ECTIQIJ.i LENGTH FROM -3,5-1 Y. --- IDURB PA_ - M.L TO PAL OWNERS PERMIT i 1 1 00 AUTHORQATION TOTAL FEE HAVE RACTOR TO CONNECT THE CONTRACTED AF DCRI ESBED EXISTINWITH THE HEREIN G OONTAPPROVALS INSPECTOR'SSIGNATURE DATE DWELLING TO THE PUBLIC a SIGNED THIew, 19 'NEW HOUS[SEWER 3 6 1'1� CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNEBB AG¢ SEPTIC TANK1(,,SE[P.PITO . ADDRES8 ANO OR DRAINFIELD 1 HEREBY ACKNO DBE THAT 1 HAVE READ THIS APPLI- CESSPOOL DRYWELL❑ CATIONAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER REGULATING PLUMBING ANO&EWERS. BEWARE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONABANDON HOULUG AND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- EWEIII ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0 TANKS❑ SEEP.PIT(S)❑ CEIISP00L8 _ SIGNATURE OF PERMITTEE * TBASUD 063 12/52 DIDPAETMMNT OF 00UNTY KNGMEM SEWE"EWAGE DISPOSAL 1 DMSION OF BUILDING AND SAFETY PERMIT APPLICATION OOUNTY OF IAB ANGIN, WILLIAM J. FOX, COUNTY ENOIN[IR ADDS �7,) �APPU TO RLL IN LDDAI-ITY BUILDINGY NEAREST ADDRESS OR088 ST. _ t Q C 1 LOOALI DIST 10T N0. SERIAL NO. rERMIT NO. MEA8ESTJ Z A 2 9,� i? S CROSS ST. GECEIV Rudy tw IDATE ISSUED OWNER _ - Z_ - -3 MAIL ADDRESS USE ZONE OCCUPANCYBK PG MAP - QTY TELMO- ^ f�f� CONTRACTOR �. IMP.NO. I,3(/© -4 ADD yj JOB.MIX W T y TRUNK PERMIT NO. STATE REGISTRATIO NO. 000NTY ROAD PERMIT M0. 3 l LEGAL STATE ENOROAOHME DESCRIPTION LOT M0. PERMIT NO. BLOOK TRACT INDUSTRIAL WASTE ArrROVAL SIZE OF LOT M0.6F BLDGS. NOW PN LOT RGES USE OF J BUILDINGS CONNECTION CHARGE FEE _ NO. /DESCR10TION OF WORK F _,VUUGI! ER MME REIMBURSEMENT FEE BLIPSEWER >I bi RECEIPT M0. DATE BY CUSEE EWER MNEOTIMG TO O RIVATE DISPOSAL SYSTEM I M 00 MMI,of-Ab�ITIOjIAt-BLDIi EPTTON REOORDiV WORK TO HOUSE SEWER Im ALTER 0 REPAIR EXISTING N DATE BY BE OR SAL SY EY I M SCONME DISPOAND ARAM M SEWER AMD OB DISrOSAL SYSTEM I.M CONNECTION DATA 8 0 TAM PA LIrIT OR PITS AND ORDRAIMFIELD 2.01 STATION DEPTH PO ELL SPECIAL CONDITIONS ONLY L" MANHOLE REFERENCE UPPEB LOWER TY OF CONNECTION LENGTH FRO Y. CURB P.L. M.L TO P OWNERS PERMIT _ ; � 00 AUTHORfZATION TOTAL FEE � I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED DOMTRACTOR TO CONNECT THE ABOVE DESORIBED K(ISTING APPROVALS IMSPECTO"SIGNATURE DATE DWELLING TO THE PUBLIO SEWER SIGNED THIS DAY OF Iq_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIC TANKK,,SEEP.PITO ADDRESS AND OR DRAINFIELD I HEREBY AOKMOWLEDGE THAT I HAVE READ THIS A"Ll- CESSPOOL I] DRYWELL I] CATION AND STATE TH T THE ABOVE IS OMMEOT AND AGREE TO COMPLY WITH AL COUNTY ORDIMAN D STATE LAWS ALTER REPAIR 8EW[R OR pEGULAT ING PLUM B AND ERS. BEWA�E DISPOSAL SYSTEM 1 HEREBY CE FY TH 1 AY P ¢ Y REGISTERED DISCONNECT PLUG AND AMD/OR LICEN D AS RE IRED BY GELES COUNTY DISCONNECT PLUG AND AMD STATE OF LIFOR OR THAT ■ HE LEGAL OWN- ER OF THE A VE DE IBED RE81 TT PROPERTY. RACXFI LL SEPTIC TANKS❑ SIGNATUR ' �. SEEP.PIT(S)0 CESSPOOLS El OF PERMITTEE T&A UD 666 1/13