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Home My Public Portal About5130 FARAGO AVE_Sewer__ DEPARTMENT OF COUNTS ENGINEE]% SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGEL4 BUILD 1 NO p ^ WILLIAM J FDX, COUNTY ENGINEER I ADDRE88 ��/) ��r✓ LOCALITYO APPLICANT-TO TO FILL II� BUILDING NEAREST ADDRESS 3^ EAn ��Q T,��yp/,E Ciyy CROSS ST LOCALITY DISTRICT NO Ready for InsDeotlon �5 PERMIT NO c NEAREST I �7 7o"592 J CROSS ST �j �(/( �� L n RECEIVED BY DATE ISSUED BY DATE OWNER f� A AZ N.A •` �,T ' ��SS p 17 S k MAIL ADDRESS {� USE ZONE OCCUPANCY BK MAP PO >� CITY Aft NO CONTRACTOR California Sewer Const.Uo. ' CO IMP NO ADDRESS 1317 Colegr'ove Ave. JOB N CITY Montebello TEL NO - L TRUNK PE IT NO REGISTRATION NO 104445 bTfIWATE COUNTY ROAD PERMIT LEGAL STATE ENCROACH NT DESCRIPTION LOT NO ^ PERMIT NO BLOCK TRACT ' / ��f INDUSTRIAL D94S s- WASTE APPROVAL NO OF SIZE OF LOT V W ON LOTS ARGE USE OF BUILDINGS CONNECTION CHARGE FEE NO DESCRIPTION OF WORK FEE REIMBURSEMENT FEE — HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 350 C-/ RECEIPT NO DATE I BY HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 100 CONNECT ADDITIONAL BLDG OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1 00 — ALTER OR REPAIR EXISTING 0 I DATE Y SEWER OR DISPOSAL SYSTEM 1 00 z DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1 00 CONNECTION DATA SEPTIC TANK SEEPAGE PIT OR _PITS AND/OR DRAINFIELD 200 STATIO f DEPTH CESSPOOL—DRY W ELL SPECIAL CONDITIONS ONLY 200 5 `/ 31 L n O� MANHOULE PPER REFERENCE TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT i I pp rim P L ML TO P L c3 S AUTHORIZATION TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO T PUBLIC SEWER APPROVALS INSPECTOR S SIGNATURE DATE SIGNED THIS __ DAY O� 1 NEW HOUSE SEWER OWNER OR P� Ql�� I CONNECT ADDITIONAL OWNERS AGENT �_i BUILDING OR WORK ADDRESS _ _ _ SEPTIC TANK SEEP PIT(S) AND/OR DRAINFIELD i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI CESSPOOL[:] DRYWELL U �Y 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A[D/OR LICENSED AS REQ ED BY LOS ANGELES COUNTY DISCONNECT PLUG AND / AND STATE OF CALIFO NIA THAT I AM THE LEGAL 0 ABANDON HOUSE SEWER i G ER OF THE ABOV CRI IDENTIAL PR BACKFILL SEPTIC TANKS / �J � /✓ SIGNATURE SEEP PIT(S)E] CESSPOOLS� ) `� f A 25 OF PERMITTEE 00 ev __ _ v I 76A642D S&E 663 4/54 TEMPLE CITY D CE808 8 89 APPLICATION FOR PERMIT EBOB 7 COUNTY OF LOS ANGELES SEWER- GE DISPOSAL 1 DEPARTMENT OF COUNTY ENGINEER lam m BUILDING AND SAFETY DIVISION fA UILDING i DDRESS JOHN A LAMBIE County En mee: C SATT D GRIFFIN Supt of Buildmg OCALI ME EARESFOR APPLICANT TO FILL IN ROSs rLEGAL DESCRIPTION LOT NO WNEBLOCK TRAC AIL pt, � DDRESS NO OF BL GS SIZE OF LOT NOW ON LOT / CITY TEL NO USE DI DISTRICT NO GROUP MAP PROCESS BY BUILDINGS BK PG I CONTRACTOR d� /ll ADS S (J CONNECTIO DATA CIN O STATION DEPTH REGI ATION NO ✓O COUNTY STATE MANHOLE R FERENCEqZT >C UPPE No I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3 00 QO TYPE OF CONNECTI LENGTH FROM SEPTIC TANK SEEPAGE PIT OR Y CURB P M L TO P L PITS AND/OR DRAINFIELD @ $3 00 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL @ $2 00 HOUSE SEWER CONNECTING TO P C NO PRIVATE DISPOSAL SYSTEM @ $1 00 CO IMP NO JOB NO CONNECT ADDITIONAL BLDG OR TRUNK PERMIT NO ROAD PE O WORK TO HOUSE SEWER @ $1 00 ALTER REPAIR OR ABANDON HOUSE STATE E HMENT SEWER OR DISPOSAL SYSTEM @ $100 PERMIT NO INDUSTRIAL WASTE APPROVAL CHARGES OWNER S PERMIT $ 2 00 CONNECT ON CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON TRACTOR TO CONNECT TH DESCRIBED EXISTING DWELLING APPROVALS D TE INSP CTOR S SIGNATURE TO THE PUBLIC SEWER SIGNED THIS DAY 0 19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TANK SEEP PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 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 SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES C TY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA THAT M THE LEG OWN OF THE ABOVE DESCRIBED RESIDENT P OPERT BACKFILL TANKS ❑ SIGNATURE SEEP PIT(S) ❑ CESSPOOLS OF PER ITT Or LMATION ROBERT A WOOD CIL n 0 CASH SUPERVISING MECHANICAL ENGINEER r LtC8787IS NOV 171 u D 500 � *tga4ltl