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Home My Public Portal About10636 DANBURY ST_Sewer__ r 7g BGEEOa A01-6] APPLICATION FOR PERINLIT 111 COUNTY OF LOS ANGELES �y DEPARTNT-OF COUNTY ENGINEER - SEWER-SEWA E DISPOSAL ME BUMDING AND SAFETY DIVISION BUILDING. /S/JOHN !L A. LAMBIE. County Enginoor ADDRESS G• V CASSATT D. GRIFFIN. Supt of div LOCALITY FOR APPLICANT TO FILL IN CROSS ST EGAL DESCRIPTION L OWNER BLOCK TRACT MAIL ADDRESS NO.OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. q USE OF BUILDINGS 117 DISTRICT NO. I GROUP MAP Q CONTRACTOR 5 K 3`g ADDRESS C NNECTION DATA CITY 'EL.NO.N0. y STATION�t r -� DEPTH / REGISTRATION NO. �` O IT-STATNETY MANHOLE REFERENCE U ER LOWE No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $S. v TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR y, CURE P.L. M.L.TO P.L. PITS AND/OR DRAI NFI ELD $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN..CESSPOOL.DRYWE LL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO P. C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 TRUNK PERMIT NO. ROAD PERMIT NO. i ALTER.REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $1.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL - WASTE APPROVAL CHARGES OWNERS PEAMIT S 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE I �� REIMBURSEMENT FEE I HAVE AT TRACTOR TO THIS ONNECT THE ABO ET DESCRIBED EXISTTHE IING NAMED DWELLING - APPROVALS DATE INSPEC DR'S SIGNATURE TO THE PUBLIC SEWER. __ _ _ _ _ _ _ _ _ _ _ _ SIGNED THIS Y OF 19 NEW HOUSE SEWER AA...-1 OWNER OR- - - - - - CONNECT ADDITIONAL- -- - - -'- ' "- OWNERSAGENT BUILDING OR WORK ADDRESS _ - -- - - - - - -SEPTIC TANK,SEEP, PIT(S). - --- - ----- -- -- 'AND/OR DRAINFIELD - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION . . i AND STATE THAT THE ABOVE IS CORRECT-AND-AGREE TO COMPLY.. . CESSPOOL❑-DRYWELL�-- - - - -'-- -- -- -�- - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. ALTER,REPAIR,SEWER OR V HEREBY CERTIFY-THAT-I AM-PROPERLY-REGISTERED AND/OR SEIYAGE DISPOSAL SYSTEM- - - - - - - -- -- .' LICENSED AS REQUIRED BY OS ANGEL TY A D STAT F rO ISCONNECT PLUG AND CALIFORNIA OR THAT THE L L.OW R _ THE OVE iABANDON HOUSE SEWER DESCRIBED RESIDENT OBER Yl BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP. PIT(S) 0 CESSPOOLS E3_. - - . __.. OF PERMITTE ) ALIDATION - __ . ROBERT A. WO&O— cK. _ M.o. _ CASH SUPERVISING MECHANICAL ENGINEER [; [;p 2 23-4 A FES 5 1 O -A- - 5.0 0. __ - - - - - APPLICATION FOR PERMIT" 76AS42D CEBOO 11-57 COUNTY OF LOS ANGELES SEWER-SEWAGE .DISPOSAL' . .. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAASEIE, CovvtF Evgweer ADDRESS G � CASSATT D. GRIFFIN. Supt of BodiD4 LOCALITY FOR APPLICANT TO FILL IN cRoss sr. ' Lz' LEGAL A "" DESCRIPTION LOT NO. 4 OWNER AJ BLOCK C MAIL ADDRESS Yl OF BLDG . 1-, SIZE OF LOT OW ON LOT ..CITY - ..TEL NO. USE OF BUILDINGS O. GROUP ��C MAP �7!/ CONTRACTOR I � LJ�-3 X' r PS ADDRESS / c.i Y ]E ::Z CONNECTION DATA ACCITY 1� TEL.NO. C�ZDEPTH/�` ERENCE REGISTRATION N0. Z Df !' CNO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOQPUBLIC SEWER @ $3. ,JSEPTIC TANK,SEEPAGE PIT 00. CONNECTION LENGTH FROMPITS AND/DR DRAINFIELD @ $9.00CURB .L. M.L.TOP.I.OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN.,CESSPOOL,DRYWELL.MANHOLE @ $2.00 xj PRIVATE SEWER CONNECTING TO ^f/ PRIVATE DISPOSAL SYSTEM @ E1.00 J�H-M9.. Yr CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 1 TRUNK PERMIT NO. ROAD PE MIT NO. '-- ALTER,REPAIR OR ABANDON HOUSE Id SEWER OR DISPOSAL SYSTEM @ $1.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ,$^ Q REIMBURSEMENT FEE I HAVE MED CON. TRACTOR TO CIONNECT THE ABOVE DESCRIBED EXS�DATE A CONTRACT WITH THE RSTNNGADWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. _ SIGNED THI'¢'—��r''Y OF I9 NEW HOUSE SEWER D- OWNER -0R = / - -CONN ECT-ADDITIONAL - - - - - - - OWNERS AGENT ./ i BUILDING OR WORK ADDRESS' - - - - - - SEPTIC TANK,.SEEP, PIT(S)- AND/OR -- - --_- -- — "AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 AND STATE THAT THE ABOVE_IS-CORRECT AND.AGREE TO COMPLY.. CESSPOOL-DRYWELL [I - - -- - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS, _SEWAGE-0ISPOSALSYSTEM - - I' HEREBY CERTIFY-THAT 1-AM"PROPERLY'REGISTEREO AND/OR' pISCONNECT PLUG AND LICENSED A$ REOUIRED BY LOS ANGELES COUNTY AND STATE OF gBANDON HOUSE SEWER — CALIFORNIA OR THAT I M. TNE. LEGA NER_OE_THE BOVE., - DESCRIBED RESIDENT ROPERTY. BACKFILL SEPTIC TANKS❑ SEEP. PIT(S) Cl CESSPOOLS ❑ SIGNATURE _ ` _ ��} ___ ._ OF PERMITTE , VALIDATIoN - -_ .ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER- - - 0021 85:6; FEB 4-1 O--A SD,0- 98Ae4260 APPLICATION FOR PERMIT g 9&.4 1159 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer C011IIIy Of LOS Angeles - BUILDING // q JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS N .) (" ��/.)-��/3 (� ® CASSATT D. GRIFFIN, SUPT OF BUI LOIN. LOCALITY 7 .>? �A FOR APPLICANT TO FILL IN CROSS ST. LEGAL OWNER h DESCRIPTION LOT NO. Iw/ PY'S'P MAIL BLOCK - TRACT ` A DRESS ,S'>'� ? �� /•\.O.vX NO. OF BLOTS. CITY TEL. NO. SIZE OF LOT NOW ON LOT USE OF BUILDINGS DISTRICT N0. -. GROUP MAP /� 0K PG CONTRACTOR A./.7 -5;- 1 .� rT�P.C �1 J j - CONNECTION DATA ADDRESS 7 ZS' !J �i YY �K I/ �C q' CITY/F4- /+'t O_,� �(A TEL. NO. 0 .T 'd a STATION /-5-11/1 DEPTH "( / MANHOLE REFERENCE UPPER / 9-STATE r REGISTRATION NO. /K S ' C� ❑ COUNTY, NO. DESCRIPTION OF WORK FEE NOOSE SEWER CONNECTING TO TYPE OF CONNECTION LENGTH FROM /t Y. CURB P.L. M.L.TO P.L.PUBLI - J HOUSE EWER @ § 3.50 )) SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD CO. IMP. N0. JOB NO. EXTN.,CESSPOOL,ORYWE LL,MAN HOLE Q $ 2.00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.00 TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ $1.00 PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM Q S 1.00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE I ^� ✓ . OWNER'S PERMIT 5 I 00 AUTHORIZATION TOTAL FEE - REIMBURSEMENT FEE 41 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED N- APPROVALS DATE INSPECTOR'SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING 00, TO THE PUBLIC SEWER. NEW NOOSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR _ BUILDING OR WORK OWNERS AGENT SEPTIC TANK,SEEP,PIT(S) ADDRESS ANO/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. _ SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER y CALIFORNIA OR THAT I-A THE LEGAL OWNER. OF THE ABOVE _ DESCRIBED RESIDENTIALIP PERTY. BACKFILL SEPTIC TANKS❑ SIGNATURE /7� SEEP.PIT(S) ❑ CESSPOOLS❑ OF PERMITTEE ^ti y JOHN A. LAMBIE, CgGNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR 0. CASH LACO2"0 7 5 SUN 2 0 4 A- . 4 J :.