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Home My Public Portal About10661 FREER ST_Sewer__ IDEPAICTMENT'OF COUNTY ENGINEERy DIVISION OF BUILDING AND SAFETY SEWER=SEIIVAGE DISPOSAL 1 COUNTY OF LOS ANGELES PERMIT APPLICATION WILLIAM J. FOX. COUNTY ENGINEER I BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING kNEAREST ADDRESS / •- CROSS ST. LOCALITY P DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST ,tom A / //� CROSS ST. 11/ RECEIVED BY Ready for Inspeetloo DATE IISSUE(D_ OWNER ZLX� `�� / a (O —V� MAIL USE ZONE OCCUPANCY MAP ADDRESS �� o � I, PLLo I BK PG CITY ,` -;_. TEL.NO. 77 CONTRACTOR yCa•Zif Ornia Sewer cm,%t,,@e,„ CO.IMP.NO. ADDRESS- j 1.317 Colegrove Ave. JOB NO. _. CITY Itontebell 0 - TEL.NOJJNion 3-5048 TRUNK PERMIT NO. (' STATE REGIVRATION N0. 104445 stH•rQjJNTY ROAD PERMIT NO. LEGAL J • DESCRIPTION LOT NO. // STATE ENCROACHMENT " MD-9L/J) l-9 PERMIT N BLOCK //,'�"`llll TRACT l/ L/J) INDUSTRIAL /) , rT IC)V NO.OF BLDGS. WASTE APPROVAL SIZE OF LOT�'b NOW ON LOT I CHARGES USE OF BUILDINGS �iQ CONNECTION CH RA GE`EE �9 N0. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 3.50 _ RECEIPT NO. I/DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR ,�--E—XcEPTION RECORDEI WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING / NO DATE I Blf� 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 t�+¢' �G/ DEPTH r CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE `l�� / �UPPER� •LOWER TYPE OF CONNECTI9*-1 LENGTH FROMf> ,t+- -Y..— C4!•RB- C P.L/ M.L.TO P.L. � V OWNERS PERMIT $ 11 00 AUTHORIZATION I TOTAL FEE 1 i/ ?S 1 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 -• 22 ._... _ NEW HOUSE SEWER Sr_ 11)`n C SIGNED THIS_._�:1 _______DAY F__.___ 19�. OWNER OR �jA / ' ' CONNECT ADDITIONAL OWNERS AGENT.�r�_.._.:�...'_.. ":.l_.__ __ _____ _ __________._ BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS-........j..�.�'��_.�.._.�lG(�✓l�. ._.------ ................ AND/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 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 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN ABANDON HOUSE SEWER ER OF THE ABOVE DESCRI ED RIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS E SIGNATURE D� SEEP.PIT(S)E] CESSPOOLS® `IA OF PERMITTEE�e7��--•�--- ---�-_..__--,--------------•---.----- ----v...... i. 76A642D 663 1/53 76A642D -A E•663 12.5'4 APPLICATION -FOR PERMIT %TION OF BUILDING AND SAFETY ,,..SEWER—S E WAG E DISPOSAL Deportment of County Engineer County of Los Angeles BUILDING WM. J. FOX. COUNTY ENGINEER _ADDRESS CASSATT D. GRIFFIN. SUPT oF,BUILD1NG LOCALITY ' FOR APPLICANT TO FILL IN, • NEAREST Ogle CROSS ST. ��6 LEGAL DESCRIPTION LOT NO. �f OWNER BLOCK TRACT ®�� O MAIL ' _ N0. BLDGS. 17 SIZE OF LOT �� OF NOW ON LOADDRESS T CITY TEL. NO. USE OF •.�.. ,rv�� _ BUILDINGS (/�'Y��-- �'w�-y��✓!►G�'t� DISTRICT NO. I GROUP I MAP ' BK PG CONTRACTOR' ADDRESS CONNECTION DATA _0 � CITY TEL. NO. STATION DEPTH ❑ STATE MANHOLE REFERENCE REGISTRATION NO. ❑ COUNTY UPPER WEP. TYPE OF CONiNCTiON LENGTH FROM NO. DESCRIPTION OF WORK FEE Y. CURB P.L. M.L.TO P.L. HOUSE SEVIER CONNECTING TO ` PUBLIC SEWER a $ 3.50 _ HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG. OR CO. IMP. NO. WORK TO HOUSE SEWER too ALTER OR REPAIR EXISTING T SEWER OR DISPOSAL SYSTEM 1.00 RUNK PERMIT NO. OAD RMIT NO. DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT _ AND/OR DISPOSAL SYSTEM 1.00 PERMIT NO. SEPTIC TANK, SEEPAGE PIT OR _ PITS AND/OR DRAINFIELD 2.00 INDUSTRIAL CESSPOOL-DRYWELL WASTE APPROVAL SPECIAL CONDITIONS ONLY 2.00 CHARGES CONNECT CHARGE FEE' OWNERS PERMIT S 1 00 AUTHORIZATION TOTAL FEE O O REI URSEMENT FEE _ TRACTORHAVE TTOS CONNECTDATE ONTRTHEA ABOVE DESCRIBED EXISTINGCTED WITH THE HEREIN A DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER NEW HOUSE SEWER I SIGNED THIS DAY_OF— 19-2 OWNER OR CONNECT ADDITIONAL OWNERS AGENT _ BUILDING OR WORK 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• r IHEREBY 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 1 AM THE LEGAL-OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS❑ SEEP. PIT(S) ❑.CESSPOOLS❑ SIGNATURE Q/„w OF PERMITTEE ` WILLIAM J. FOX, COUNTY ENGINEER ' VALIDATION 6/t� 2T ~�,no 7 9 2 7 SEP 14 4 2.00 BY BY DEPUTY DEPUTY BY BY 0 I DEPUTY V DEPUTY f0'-63" 76A642D L•- APPLICATION /ORPERMIT �-c� 6A641 �J COUNTY OF LOS ANGELES SEWER WAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 711NER JOHN A. LAMBIE, County Engineer WILLIAM A. JENSEN, Sup't of Building FOR APPLICA T TO F IN LEGAL DESCRIPTION LOT NO/ I (� ' I 4� - 7 MAIL l� BLOCK TRACT ADDRESS NO OF BLDGS !- SIZE OF LOT NOW ON LOT CITY _ TEL NO. 6�7 Op USE OF DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS ' g-9- BK PG1 �J CONTRACTOR 'b l� 5/ J ADDRESS p\ y ///...CONNECTION DATA CITY Ly L NO '', L �� STATION / DEPTH 1 STATE MANHOLE REFERENCE REGISTRATION NO ❑ COUNTY LOWER NO ]DESCRIPTION OF WORK FEE TYPE OF CONNECTIOLENGTH FROM //// HOUSE SEWER CONNECTING TO Y CURB 1"L. M.L TO P.L I, PUBLIC SEWER @ SS.00 P.C.NO CL SEPTIC TANK,SEEPAGE PIT OR CO.IMP. NO. Iq JOB NO O PITS AN OR DRAINFIELD @ SIO 00 V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM @ S3 00 0CONNECT ADDITIONAL BLDG OR AFFIDAVIT wAIVEp EASEMENT RECORD INSTR NO, DATE 0 WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD l!J EXTN,CESSPOOL,DRYWELL,MA NH OLE @ $5 00 rL A4S54t7RrF7rM-0R ABANDON HOUSE HWY OR ST WIDENING h �+ SEWER.^"'""""�"' '""TEM @ $300 STATE ENCROACHMENT Z PERMIT NO INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT t z o0 AUTHORIZATION I TOTAL FEE CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSE DAS REQUIRED BY LOS 'ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND IN ND TO DISCONNECT PLUG AND RESIDE IN, THE RO RT ABOVE DES IBED RESID NTIAL PABANDON HOUSE SEWER SIGNATURE ! BACKFILL SEPTIC TANKS ❑ `, OF PERMITTEE 1 SEEP,PIT 15) ❑ CESSPOOLS ❑ Q"`•3q VA DATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK. M O CASH LAi o 4 5 $ OCT 16 1 0 D 5.00- �' A1Q-6a 76A642642D APPLICATION FOR PERMIT �' COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOS L DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS .4e40 WILLIAM A. JENSEN, Sup't of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL / DES CRIPTIO/ TRACT BLNN LOT NO �/ OWNER 7 �� MAIL BLOCK ADDRESS NO OF DGS � SIZE OF LOT NOW ON LOT CITY /G `I" TEL NO. Q USE OF BUILDINGS DISTRICT NO GROUP MAP PROCESS BY y�Epp�� yG�• / ��// BK PG r CONTRACTOR Aa.'JQ�%.,//�ft Q�T& "4 �QO 1 At ADDRESS py� �✓u �• ..y ` CO ECTION DATA CITY//�Z11V , 1 TEL NO. •/L�� ./ STATION^ 6 O DEPTH a REGISTRATION NO /�{J Y'� ❑ COUNTY[�r STATE MANHOLEVREFERENC�E. 4oT�- YLe .-, �/�/ NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FR / HOUSE SEWER CONNECTING TO CURB P L M L TO P.L �5 >-' PUBLIC SEWER @ $5 00 5 OC CL SEPTIC TANK,SEEPAGE PIT OR P C.NO. O CO IMP. NO JOB NO PITS AND/OR DRAINFIELD @ 810 00 U HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT N n�C PRIVATE DISPOSAL SYSTEM @ $300 (/ tJ ^ CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT0 RECORD INSTR.NO DATE WORK TO HOUSE SEWER @ S3 00 OVERFLOW SEEPAGE PIT.DRAINFIELD l!J EXTN,CESSPOOL,DRYWELL,MANHOLE @ $5.00 ALTER.REPAIR OR ABANDON HOUSE HWY OR ST WIDENING Z SEWER OR DISPOSAL SYSTEM @ $300 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL OWNERS PERMIT $ 2 00 CHARGES AUTHORIZATION TOTAL FEE O D CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS----f\.-// Y OF 19_ r OWNER OR \ �j �� NEW HOUSE SEWER "•t t - OWNERS AGENT a'L.� I�� / m, �- - CONNECT ADDITIONAL ADDRESS BUILDING OR WORK I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK,SEEP,PIT(S) 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 ❑ 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 SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABO 1DRIBED IAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE J `/-/G,\r///J BACKFILL SEPTIC TANKS ❑ OF PERMITTEE ❑ SEEP.PIT(S) ❑ CESSPOOLS ALIDATION ROBERT A. WOOD M O CASH SUPERVISING MECHANICAL ENGINEER CK LACO 5 7 3 41 NOV 9 1 0 D 7.0 0- d