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Home My Public Portal About5733 CAMELLIA AVE_Sewer__ 'f)EPA$TNffivT OF UOUNTY ENGINMM - SEWER--SEWAGE DISPOSAL 1 DIVISION OF BUELDING AND SAFETY PERMIT APPLICATION OOUNTY OF Lob eN@�IMS WILLIAM J. FOX, CouNTY ENaINme I N LD 57.33 Bu1LDINe FOR APPLICANT TO RLL I `ADDRESS "fZ�LOCALITY �31 SERIAL NO. T NEAREST A ! 7 S CROSS ST. OWNER o- REOEIYED BY Reafr Tyr 1mv;sa a DATE 1 ED F _=.f�> a MAIL ADDRESS USE ZONE OCCUPANCY MAP / I BK FG CITY TRI-NO. OONTRAOTOR - CO.IMP.NO. JOB.NO. CITY ? J�x� �iF ELNix a°� TRUNK PERMIT NO. REGISTRATION N0. PG COUNTY ROAD PERMIT III LEQAL DESCRIPTION LOT NOVO ( STATE ENCROACHMENT PERMIT NO. BLOCK TRACT J5 INDUSTRIAL + WASTE APPROVAL SIZE OF LOT GGrl NO.OF BLDG'S- Cl USE OF NOW ON LOT CHARGES //�� BUILDINGS �1 CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSEsiWER—PUBLIOSEW[N� O • III S.M nm PT No_ DATE GY Oim vw1 ER DON OTIN PRIVATE DISPOSAL SYSTEM LAS NNEC• XD-61T L B ■ EXCEPTION RECORDED WORK TO HOLM SEWER I-M A ER OR REP�R EXISTING NO DATE BY SEWER OR DISPOSAL SYSTEM I)ISCONNECT AmbABANDON SEWER AND OR OIST0L SYSTEM I M CONNECTION DATA i TANK,8AE A PIT 0 PITS AND/OR DFLAINFIELD Im STATION 3 t DEPTH 0 OL--0RYWELL SPECIAL CONDITIONS ONLY !SS _ MANHHORLLERREF E S LOWER TYPE OF OONNE(TIP LENGTH FROM / Y. -- CURB ✓ r.L M.L.TO P.L OWNERS PERMR ; I I 00 AUTHORIZATION Torg FEE I HAVE THIS DATE OONTRAOTED WITH THE HEREIN RAISED CONTRACTOR TO CONNECT THE ABOVE DEWHIGED EXISTING APPROVALS INSPECTOWSSIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS DAY OF 19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TAM SEEP,PrT(S) AND OR D NFIELD I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLI- CESSPOOL DQYWELL CATION AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS ALTER REPAIR,SEWER OR REGULATING PLUMBING AND SEWER8 SEWAdE DISPOSAL ER OR 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECTD_ PLUG AND AND/OR LICENSED AS gEQUIEM HED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. LTANKS❑ SIGNATURE ��' -'J BEEP.PIT(S) CEss POO L6 OF PERMITTEE r Y. TOASUD GEE 1/63 'DIEPdR�17 OF COUNTY 1CNC9NjMM SEWERr--SEWAGE DISPOSAL 1 DNlSION OF BUIMING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENOIN[[R BUILDING 57�� (/ C ella �r ADDRESS II FOR APPLICANT TO RLL IN Lo"UTY Tel" c i ar ADDRESS ^�C�� MOROSE ST. /V-P Q U�?11 t tCi!t LOCALITY DISTRICT M0. SERIAL M0. PERMIT M0. NEAREST a S A / 7 3203 S OROSS ST. A. R¢O¢IVED BY Raab Tr Iupmuoa DATE ISSUED OWNER �Q^+.n nj► �/� - Z-.Z U—�3 MAIL ' �I AD HESS ✓ L USE ZONE OCCUPANCY MAP BK P9 OITY TELYO. ---- CONTRACTOR �y v, CO.IMP.M0. ADDRESS h JOB.M0. CITY .+ ]n TEEL.NOO. 0 6 TRUNK PERMIT N0. REGISTRATION NO. 's Q -/ / ® �UKT / Y BOD PERMIT MO.LEG2 3 b 3 SCRIP �' + .ri STATE ENCROACHMENT DESCRIPTION LOT N0. f n X11 PERMIT N0. BUCK TRACT INDUSTRIAL WASTE APPROVAL S1ZH OF LOT Q+ M0.OF BLDf& MOW OM LOT CHARGES USH OF P 0 BUILDIMBB .- OOMMEOTIOM CHARGE FEE N0. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOWSE SEWER 00 EC`n I PUBLIOSEWER " -a RECEIPT NO. DATE BY OUSE SEW¢■WNnllo PRIVATE DISPOSAL SYSTEM 1-M WECT--baT o1� L BLDG-o EXCEPTION RECORDED WORK TO HOUSE SEWER I-M ATt¢R OR REPAIR EXIBE-WENTIMQ YO• .ATI BY BEEN 0 DISPOSAL SYSTEM Im � DISCONNECT M ASANn011 SEWER AND OR DISPOSAL SYSTEM 1.10 I CONNECTION DATA FTIO TANK,SEEPAGli-PIT OR PITS AND/OR DRAINFIELD 2A8 STATION - DEPTH / C OOL-D LL ^ SPECIAL CONDITIONS ONLY 2J1 MANHOLE BEF REMO7 UPPER- , LOWER TYPE OF o0NMEPO Mr.L LELMGTH FROM / �•- QURB - M. . OWNERS PERmrr $ I 1 00 Y. TO PL AUTHORIZATION TOTAL FE I G 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO DONNECT THE ABOVE DESORIDED EXISTING APPROVALS INSPEOTOWSSIGMATURE DATE DWELLING TO THE PUBLIC SEWER i SIGNED THIS DAY OF 19_ NEW HOUSE SEWER r OCNECT DDITIONAL OW:ERRi AR �14//,' c BUIMLDING OR WORK SEPTIO TANKK,,SEEP.PIT(S) ADDRESS AND OR DRAINFIELD I HEREBY AC:"OWLED¢E THAT I HAVE READ THIS APPLI- CESSPOOL E] DRYW¢LL E] CATION AND STATE THAT THE ABOVE 18 OORREOT AND AGREE TO 00 aPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTERp,REPAIRR,,SEWER OR REGULATING PLUMBING AND SEWERS BEWARE DISPO EWER OR I HEREBY CERTIFY THAT I AM PROPERLY REGISTER[. DISOOMMEOT PLUG SYS EM AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE 8 ¢B AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. TANKS SIGNATURE SEEP.PIT(S)❑ CE89POOLY \ `�� OF PERMITTEE !_fib ;-+ ;•7� ` TGABUD 6W 1/68 / COUNTY OF'LOS ANGELES TEMPLE CITY D508 SEWER PERMIT DEPARTMaT OF..PUBLIC WORKS' _. _ � 9071 LAS TUNAS SE D508 BUILDIMG AND SAFETY / LAND DSVE(_OPMENT TELE CITY CA PHONE: (818). 285-0488 . EXT:. SBdR SEPTIC: SEWER UILD4NG TR: 6561 LT: 554 EXIST OCC GRP: 733 CAMELLIA AVS BLDSS. NOW ON LOT; TEMP CA 917802502 CONNECTIOIt TYPE: NEAREST CROS STREET: LIVE OAK ,. 85$ -Q1 -DOT ORIGINATION: THOPW PAGE: 597 GRID: A3 LOCALITY: tEMPEE CITY LENGTH 144 TO PL: STATION: DEPTH: HOLE REFERENCE: UPPER/LOWER: IM= ON: PROCESSED I RES ON: 08/08/96 - TC _ .' 0$/08/97. - COUNTY IMPROVEMENT NUMBER: PIAN CHECK NUMBER: F I NAL CME: W )a"G MING-60 YU - JOB NUMBER: 479 LAS TUM DR` r TRUNK PERMIT NUMBER: AkCD-910078424 ROAD PERMIT NU1BER: OF WORK AFFADAVIT: NO . CONNECT LAUNDRY IN GARAGE TO [OUSESEWE!R' WAIVER: ' NO APPLICANT: . . EASEMENT:. .MO r SAME AS 06MEA - RECORD I.NST-RUMENT RECORD DATE: REET�yI EPECIAL 4 DI.TIO NS: HIGHWAY/STI.G . r STATE EM H`q.EJ]i' If S�R q. COMMOR. TEL. DATE IN SAME AS OWNER � - LIC, NO FEEa AMOIANT 1 I-DO . .430.30 BUILDING OR WORK t ARCH17ECT OR - p: T ES 58.0.5 _ LIC. M0: SEPTJC' ' AND/NR MAIN F I E14 DRYW MM MAP, hgn U�Ll ! R K -: - --r-T SEWD� DISPOSAL SYSTEM - co DISCONNECT P�LJG AND L ABANDON HOUSE SEVER Y �+ O PEEP. PIT CESSPOOL" REPORT ID: D0266 ROUTE TQ BS050&-.