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Home My Public Portal About9662 CRAIGLEE ST_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DOS OV10L �l DIVISION OF BUILDING AND SAFETYPERfVIiT P lqwN ' COUNTY OF )LOS ANGELES Al j WILLIAM J. FOX, COUNTY ENGINEER + BUILDING ADDRESS Ll FOR APPLICANT TO FILL IN LOCALITY 7 -pyo �j fie-BUILDING '0 NEAREST �( ADDRESS — �+a CROSS ST. �! , A & I—V 'p,i LOCALITY DISTRICT NO. SERIAL NO. j PERMIT NO. NEAREST ZJ A —'� S7 ISnSCj— S CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL _ADE /-,J,�� ,1 ,[/ �� .,q USE ZONE OCCUPANCY BK MAP PO CITY ,�' �' " TELjj? �6 -1� / 41 I CONTRACTOR / rti CO.IMP.N0. 1 °` ADDRESS JOB.N0. CITY TEL.NO.. TRUNK PERMIT NO. STATE REGISTRATION NO. COUNTY ROAD PERMIT NO.LEGL ' DESCRIPTION LOT NO. R 2' c4' STATE ENCROACHMENT PERMIT NO. BLOCK TRACT vn_�.� r(4AINDUSTRIAL WASTE PPROVAL SIZE OF LOT NO.OF BLDTGS. NOW ON LO ^� CHARGES, USOF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOREIMBURSEMENT FEE PUBLIC SEWER @ $ 3.50 RECEIPT NO. DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 � CONNECT ADDITIONAL BLDG.OREXCEPTION RECORDED WORK TO HOUSE SEWER. I:00 ALTER OR REPAIR EXISTING :-�� NO' I DATE I 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 $ I 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE I Z ®V' I 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..... ---_.DAY OF.-. '--------194--, NEW HOUSE SEWER OWNER OR ✓(7 '3' z f'p� CONNECT ADDITIONAL OWNERS AGENT./ .. ...._......._.a._... BUILDING OR WORK // 9 SEPTIC TANKSEEP. ADDRESS...... _(�t.l!?..-z..... !. .,._..-. La., AND/OR DRAINF ELD PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED 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. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)[:) CESSPOOLS OF PERMITTEE... .. _f -.-._........--................._._- 76A642D 663 1/53 ZA i CE806 3-64 _ 76A642D APPLICATION FOR PER IT ,f ��1t' COUNTY OF LOS ANGELES SEWER-SEWA E 1SPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ry JOHN A. LAMBIE, County Engineer ADDRESS ` WILLIAM A. JENSEN, Supt of Building - LOCALITY NEAREST FOR $7�P Ae CROSS ST. NNO. 71 LEGAL DESCRIPTIONOWNERMAIL -BLOCK TRACT, ADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY BK PG CONTRACTOR i i� ADDRESS y.£ CONNECTIOR DATA CITY ATION DEPTH ` STATE MANHOLE REFERENCE UPPER REGISTRATION NO. ( ) [/ H COUNTY 1 NO. DESCRIPTION OF WORK FEETYPE CONN LENGTH FROM HOUSE SEWER CONNECTING TO Y. C gyp.L. M.L.TO P.L. 3 PUBLIC SEWER @ $5.00 SEPTIC TANK,SEEPAGE PIT OR P,C.NO. }• , PITS AND/OR DRAINFIELD $10.00 CO.IMP. NO. JOB NO. cr,am�, a HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 1 O PRIVATE DISPOSAL SYSTEM $3.00 l7 CONNECT ADDITIONAL BLDG.OR AFFIDAVIT wAlv[[ [A[[M[Hi RECORD. INSTR.NO. IDATE w WORK TO HOUSE SEWER $3.00 O OVERFLOW SEEPAGE PIT,DRAINFIELD I-- EXTN.,CESSPOOL,DRYWELL,MANHOLE 0 $5.00 U ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING W a SEWER OR DISPOSAL SYSTEM $3.00 STATE ENCROACHMENT � U) PERMIT NO. Z INDUSTRIAL WASTE APPROVALd- HARGES OWNERS PERMIT s z o0 CONNEC710N.CHA RGE FEE AUTHORIZATION TOTAL FEE '1HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON• REIMBURSEMENT F— T RACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER, APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19, i OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK,SEEP,PITS) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR TH AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE OV ESC BED RE51DENTIAL �ERTY. ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITT �✓� SEEP,PIT(S) ❑ CESSPOOLS ❑ bK VALIDATION ROBERT A. WOOD M.0. CASH SUPERVISING MECHANICAL ENGINEER 5 7.: e 3-64 76A642D APPLICATION PpLICATION OC PERMIT .117(�,�s� - COUNTY OF LOS ANGELES SEWER-SEWAGE POSAL DEPARTMENT OF COUNTY ENGINEER , BUILDING AND SAFETY DIVISION BUILDING r C� ADDRESS JOHN A. LAMBIE, County Engineer - - WILLIAM A. JENSEN, Sup't of Building LOCALITY .. ...> - NEAREST FOR I i f CROSS ST. i LEGAL DESCRIPTION L T NO. OWNER fMAIL BLOCK TRA / r ADDRESS NO. OF BL S, SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF DISTRICT NO. GROUPBK MAP PROCESSED BY BUILDINGS PG Jr,ONTRACTOR yv� " rh 711( ADDRESS L "'CONNECTION DATA Z':TY: EL. NO. ATI ON DEPTH • -S STATE MANHOLE REFERENCE /,/ UPPER REGISTRATION NO. 30 / El COUNTY NO. DESCRIPTION-OF WORK FEE TYPE OF C N&N LENGTH FROM HOUSE SEWER CONNECTING TO Y. V.L. M.L.TO P.L. PUBLIC SEWER @ S5.00 SEPTIC TANK,SEEPAGE PIT OR P.C.NO. } PITS AND/OR DRAI NFIELD @ S10.00 CO.IMP.NO. ,31 JOB NO. O 0 HOUSE SEWER CONNECTING�TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ 83.00 CONNECT ADDITIONAL'BLDG.OR AFFIDAVIT WAIVER EASEMENT RECORD, INSTR.NO. DATE WORK TO HOUSE SEWER @ $3.00 O OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN.,CESS POOL,DRYWE NHOLE @ $5:00 V ALT�REPAJISR�ORA�HO�USE@ HWY.OR ST.WIDENING lJJ a SEW83.00STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGE OWNERS PERMIT AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE _ '1HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS _ TO THE PUBLIC SEWER. DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER f OWNERS AGENT CONNECT ADDITIONAL ff BUILDING OR WORKlf� ADDRESS SEPTIC TANK,SEEP,PIT(5) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR,DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING - PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ - AA I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL S YSTEM CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND B RESIDE IN, THE AO�DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SE W ER �A.,,,,• SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE PEP,PIT(S) ❑ CESSPOOLS E] .. , ,.... VALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENGINEER CK. v