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Home My Public Portal About5328, 5330 ENCINITA AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEINER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING rZ Ir y' WILLIAM J. FOX. COUNTY ENGINEER ADDRESS }� ,/V cf( I-A FOR APPLICANT TO FILL IN LOCALITY M P/-r• C, r BUILDING �+�02�! C LrC - ADDRESS v F� ,V �V /� `=� CROSS ST. ' t� �� DISTRICT N0.' rSERt7CC'N8. PERMIT N0. LOCALITY / �j/ /•j0�7�S Z �O S,I�S NEAREST /tf G• CROSS ST. '/ }� RE CCE EDWIG Ready for Inspection DATE ISSUED' OWNER 7./ 6P ,.,� / MAIL USE ZONOCCUPANCY MP ADDRESS 71;)l BK PG CITYu� TEL.NO. / S CONTRACTOR D �� , _CO.,IMP..•NO., _/__ a/_- ADDRESS S �✓ Y 1 10B NO. CITY TEL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO. a COUNTY ROAD PERMIT NO. LEGAL / STATE ENCROACHMENT DESCRIPTION LOT N0: PERMIT NO. ~ BLOCK TRACT /1C� INDUSTRIAL 77 IJ WASTE APPROVAL SIZE OF LOTNO.OF S OQ NOW ON LOT /i _ CHARGE USOF I BUE DINGS �kS CONNECTION CHARGE F E NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER @ $ 3.50 I RECEIPT NO. DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR /^ !Yi`'] EXCEPTION ECORDED WORK TO HOUSE SEWER 1:00 ' COX ALTER OR REPAIR EXISTING NO.,,I'� DA.; '' ' BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER' s AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA - SEPTIC TANK,SEEPAGE'PIT OR PITS AND/OR DRAINFIELD 2.00- - PSTATION y�©Z� r DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 _MANUni F RFFFRFyCE UPPER LOWER + TYPE OF CONNE InN -'�'FN.G.T.H.F.ROA1 - OWNERS PERMIT f t 00 . P L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE 90 x 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING t APPROVALS INSPECTOR'SSIGNATURE DATE DWELLING TO .TH PUBLIC SEWER SIGNED THIS---__ __ .DAY OF7_ / - � 'NEW HOUSE SEWER OWNER OR . //��,/�/��J CONNECT ADDITIONAL t - L OWNERS AGENT------------Cr � fl�id�. BUILDING OR WORK Yn G fo ADDRESS--___ _�7 -t'r-___ `^'-!�� t•fR/ iSEPTIC TANK,SEEP.PIT(S) y�-.----- ------rte-•. _`g :AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAV�READ THIS APPL1= }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 ABOV ESC IBED- E ENT PR`� OPERTY. BACKFiT(S)E SEPTIC TANKS LS - _T��1J �SEEP.PIT(S)� CESSPOOLS� SIGNATURE OF PERMITTEE - - - - - - -_- - - - - ... - 663 7/53 P_7�IVISION DEPAIC.r NT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL.OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES V`' WILLIAM J. FOX, COUNTY ENGINEER BUILDING �h ADDRESS \ L BUILDING FOR APPLICANT TO FILL IN LOCALITY e, 0D� - �L-.- V ADDRESS 6�� 3E/ � NEAREST CROSS ST. LOCALITY / J DISTRICT N0. SERIAL NO. PERMIT N0, c NEAREST �� — r__0 A °�-- ,�Q Z S CROSS ST p R r/�jA �' t Ready for Inspection DATE q'_"� ? OWNER } MAIADDRESS L ® 4 !�/ U ZONE OCCUPANCY a MAP , BK PG CITY TELAO. 1 (rrd CONTRACTOR CO.IMP.NO. 1 ADDRESS _ JOB N0. CITY TEL.NO. o[ TRUNK PERMIT NO. 7MljSTATE ROAD PERMIT N0. REGISTRATI 0. A COUNTY LEGAL DESCRIPTION' LOT NO. STATE ENCROACHMENT PERMIT N0. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT N0.OF BLOGS. NOW ON LOT CHARGES USE OF BUILDINGS C ECTION CHARGE FEE N0. DESCRIPTION OF K FEE HOUSE SEWER CONNECTIN REIMBUR E ENT FEE PUBLICSEWER @ $ 3.50 RECEIPT N0. DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR 4 EXCEPTION RECOR 1 WORK TO HOUSE SEWER 1.00 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 2.00 S ATIO ,Q DEPTH 6 CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00ANHOLE REFERE C S�. UPPER PE OF CONN CTION LE Gf H FROM OWNERS PERMIT $ 1 00 xl-jy CURB M.L.TO P.L.- AUTHORIZATION .L_AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE"HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE' DATE _ SIGNED THIS------I-----------DAY OF_-_---�...-- __.:_......_...I� ? NEW HOUSE SEWER OWNER OR /J,��1 �,[/ CONNECT ADDITIONAL i Oi1FMERS AGENT_-!.- 4—&,� L _....T t.. BUILDING OR WORK e � +([j(� ; �j"�y 7 7 SEPTIC TANK,SEEP.PIT(S) t ADDRESS _-s � _-_-. /I`�LlK __- .._-_..__.__--_.._-_ AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] 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 _; ' -' 't 1 SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE D BRIBED REST EN IAL PROPERTY BACKFILL SEPTIC TANKS[] SEEP.PIT(S)QCESSPOOLS SIGNATURE Qr! f �� :. ZfOF PERMITTEE �_AX 1; U �6 r 76A642D 663 1/53