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Home My Public Portal About9024 EMPEROR AVE_Sewer__ 4_E[A E CITY -61 76A6423-61 APPLICATION FOR PERMIT 6A642 COUNTY OF LOS ANGELES SEWER SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A, LAMBIE. County Encc��nneer ADDRESS WILLIAM A JENSEN. Supt of B1=9 LOCALITY Temple Bltt FOR APPLIC � CROSS or ST Rosemwad B1. LEGALr. for /� DESCRIPTION LOT NO OWNERChas, C. Hubner BLOCK TRACT MAIL ADDRESS 9024 Emperor Ave. 0 OF BLDGS SIZE OF LOT NOW ON LOT 3 CITY TEL NO USE OF DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS Pd CONTRACTOR $ uare Deal sewer sorvice G BK ADDRESS--)933 Maxson Rd. CONNECTION DATA CfTYEl Monte TEL NO GI 1,_2020 STATION Z DEPTH STATE MANHOLE REFERENCE REGISTRATION NO COUNTY LOWER No DESCRIPTION OF FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $S 00 0 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK SEEPAGE PIT OR CURB P L M L TO P L PITS AND/OR DRAINFIELD @ S9 00 OVERFLOW SEEPAGE PIT DRAINFIELD } EXTN CESSPOOL DRYWELL @ 3 2 00 d HOUSE SEWER CONNECTING TO S/1— P B NO O PRIVATE DISPOSAL SYSTEM @ E1 00 CO IMP NO CCJJ JOB NO u CONNECT ADDITIONAL BLDG OR TRUNK PERMIT NO ROAD PERMITNO WORK TO HOUSE SEWER S1 00 qlz O SEWER OR DISPOSAL SYSTEM HOUSE @ $1 00 STATE ENCROACHMENT ` PERMIT NO INDUSTRIAL d WASTE APPROVAL N CHARGES Z OWNER'S PERM $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE 7, 00 REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVAIS `DATE, INSPECTOR'S.SIGNATURE TO THE PUBLIC SEWER SIGNED THI DAY OF 19_ NEW HOUSE SEWER t �� OWNER OR D p� CONNECT ADDITIONAL OWNERS AG T •fy L'21�G€ BUILDING OR WORK ADDRESS-4t SEPTIC TANK SEEP PIT(S) 1 AND/OR DRAINFIELD I HERE ACKNOW EDGE TH I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEN 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA THAT 1 AM THE LEGAL OWN THE ABOVE BACKFILL SEPTIC TANKS ❑ DESCRIBED RESIDENTIAL PROPE TY. SIGNATURE SEEP PIT(S) ❑ CESSPOOLS OF PERMITTE G ATION ROBERT A WOOD K Y 0 CASH SUPERVISING MECHANICAL ENGINEER 1 9 9 a- J&23 1 0 A 7.0 0- E-663 S&EAPPLICATION FOR PERMIT S& 63 11.55 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER _ADDRESS ® CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY i FOR APPLICANT TO FILL IN gROSS ST . LEGAL OWNER DESCRIPTION LOT N0. MAIL BLOCK TRACT ADDRESS - NO. OF BLDGS. CITY TEL. NO. SIZE OF LOT NOW ON LOT USE OF BUILDINGS DISTRICT N0. GROUP I MAP BK PG CONTRACTOR CONNECTION DATA ADDRESS STATION DEPTH CITY TEL. N0. UPPER MANHOLE REFERENCE ❑ STATE LOWER REGISTRATION NO. ❑ COUNTY No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNECTION LENGTH FROM PUBLIC SEWER @ $3.50 Y. CURB P.L. 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,MANHOLE @ $ 2.00 CO. IMP. NO. JOB NO. 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. 1 ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM @ $1.00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT S 1 00 REIMBURSEMENT FEE AUTHORIZATION I TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE -1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. NEW HOUSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL c ® is' OWNER OR BUILDING OR WORK OWNERS AGENT SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD I 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 I 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 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS❑ SIGNATURE .,y SEEP. PIT(S) ❑ CESSPOOLS❑ OF PERMITTEE JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION, ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. X. 0. F CASH � I DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER �) ADDRENG ^ �D ADDRESS �C/ FOR APPLICA T TO FILL IN LOCALITY �, G"� BUILDING n NEAREST ADDRESS h NEAREST ST /T/�✓ LOCALITY DISTRICT NO. SERIAL NO PERMIT NO NEAREST � v/ a� /,� CROSS ST �� / lam/ RECEIVED BY Ready for IaeDeotloo D TE ISSUED OWNER �� -72,PI,573 MAIL ADDRESS USE _ZZON�E OCCUPANCY BK MAP PG CITY /� TEL NO 5-42ao CONTRACT, C. Nottingham Co. of Temple Vq CO.IMP NO ADDRESS 5933 N CLOVERLY AVE. JOB NO CITY TEL NO TRUNK PERMIT NO -7 o STATE REGISTRATION NO F9l 1 r ❑ COUNTY ROAD PERMIT NO LEGAL �r`�' DESCRIPTION LOT NO STATE ENCROACHMENTPERMIT NO BLOCK TRACT �i �Q Z INDUSTRIAL WASTE APPROVAL SIZE Of LOT NO OF SLOGS NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER 0 $ 350_ RECEIPT NO I DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1 00 CONNECT ADDITIONAL BLDG OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1 00 i ALTER OR REPAIR EXISTING NO I 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 200 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 200 O MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT ; 1 0 Y CURB PL M L TOP L AUTHORIZATION TOTAL FEE 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 ...___ _____ __ 19 j NEW HOUSE SEWER OWNER OR I CONNECT ADDITIONAL OWNERS AGENT _ __ __ _ _ BUILDING OR WORK ADDRESS __ I SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD 1 I HAVE READ THIS APPLI- CESSPOOL n DRYWELL E3 CATHEREBY ACKNOWLEDGE THAT ION AND STATE THAT THE ABOV EAS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINNCES AND STATE LAWS ALTER REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY[ DISCONNECT PLUG AND ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PRO ERTY BACKFILL SEPTIC TANKS SIGNATURE i � SEEP PIT(S)E] CESSPOOLS[:] _/ � Y _ _ _ I " OF PERMITTEE 76A642D 663 1/53 1 t