HomeMy Public PortalAbout10720 FREER ST_Sewer__ DEPAIVrMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL-
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER I BUILDING
ADDRESS �J
FOR APPLICANT TO FILL IN LOCALITY ����SLP
BUILDING NEAREST
ADDRESS 10720 Freer St• CROSS ST. .�IL D 7l
LOCALITY a tg DISTRICT NO. SERIAL NO. PERMIT NO.
NEAREST `f CO ��
CROSS ST. E1 Monte Ave
RECEIVED BY Ready for Inspection DATE ISSUED
OWNER pe L* McNutt Ig-1-
MAIL
ADDRESS 372-32- San Gabriel Bled* USE ZONE OCCUPANCY BK MAP PO
CITY S9n C&brielTEL-NO- AT 94364
CONTRACTOR Ls Do & Me Construction Co.
CO.IMP.N0.
ADDRESS 408 Winthro12 I)ro IJOB NO.
CITY Alhambra TEL-NO- AT 48315 TRUNK PERMIT NO.
STATE
REGISTRATION NO. 11861 .0-42 COUNTY ROAD PERMIT NO.
LEGAL
DESCRIPTION LOT NO. 3 STATE ENCROACHMENT
PERMIT N0. -
BLOCK TRACT 17867 INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT NO.OF BLDGS. e�
NOW ON LOT 6ri CHARGES
USE OF
BUILDINGS 1 Res. CONNECTION CHARGE E
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE
1 PUBLICSEWER @ $ 3.50 RECEIPT NO. I ATE I BY
HOUSE SEWER CONNECTING TO 1
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.OR EXG ON RECOR ED
WORK TO'HOUSE SEWER 1.00
ALTER OR REPAIR EXISTING N DATE I BY
SEWER OR DISPOSAL SYSTEM 1.00
DISCONNECT AND ABANDON SEWER
AND/OR DISPOSAL SYSTEM 1.001 CONNECTION DATA
SEPTIC TANK,SEEPAGE PIT OR
PITS AND/OR DRAINFIELD 2.00 STATION ?-�a DEPTH �5
CESSPOOL—D RY W ELL �+
SPECIAL CONDITIONS ONLY 2.00 Q MANHOLE REFERENCE
t#fzPER C� LOWER
TYPE OF CONNECTION LENGTHFROG - -
OWNERS PERMIT # I 00 Y"' •CuRs P.L. M. XO-P'�
AUTHORIZATION I TOTAL FEE v
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING
DWELLING TO THE PUBLIC APPROVALS INSPECTOR'S SIGNATURE DATE
SEWER
SIGNED THIS--------------------DAY OF........................................19...---- NEW HOUSE SEWER
OWNER OR CONNECT ADDITIONAL
O W N E RS AGENT-.--------------------- -----........----.............................. BUILDING O R WORK
ADDRESS..............._. SEPTIC TANK.SEEP.PIT(S)
.....................-............---....................---....... AND/OR DRAINFIELD
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
1 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 ABOVE DESCRIBED RESIDENTIAL PROPERTY,
BACKFILL SEPTIC TANKS
SIGNATURE j � SEEP.PIT(S)E) CESSPOOLS❑
OF PERMITTEE j !/�I/i!i/1 J_ iLf
76A642D 663 1/53 r