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Home My Public Portal About8736 GARIBALDI AVE_Sewer__ APPLICATION FOR PERMIT a"•DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE D I S POSA L Cobz" of Lo. Augal . FAMD . JOHN A. LAMBIE.COUNTY ENo1NKER m CA$.SATT D. GRIFFIN,HUP'T OF 19UILDINO LITY WGASJJ LkMST FOR APMCANY TO FIJI. IN s,T. DES 1PTION IAT NO. 940 CI TCT MAIL ADDRESS X0. O BLD GE. CITY NO. j SIZE OF LOT NOW ON LO USE OF BUILDINGS DISTRICT NO. GROUP RJLP CONTRACTOR I e ADDRESS ^ /� CO![jRM0N DATA J� STATION DEPTH CITY A , REL. 110/10 MANHOLE RSFEII$ll P ElSTATE % LOWKR REGISTRATION N0, Q 0 COUNTY r No. DESCRIPTION OF WORK FEE HOUSST�iSEWL-11 CONNECTING toTYPE OR CONNECTION LSIIGTH FROM ' PU13LIC SEWER 6 9.50 {r/ Y. CURB P,L. Y.1.TO P.L. IEPTIC TAMC,SEEPAGE PIT OR _ (TS AND/OR DRAl"IELD ;3.'00 OVERF40W SEEPAGE PIT,DRAINFIELD CO. INP.HO. JOC.R NO. EXTX.,CESSPOOL DRYW LL MANHOLE i 2.00 VER PRIVATE OUSE DISPO L 3.9TEIICTING TO ® ;1.00 TR XK PERMIT NO. ROAP PERMIT N0, CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ ;1.00 PERRIT N0. ALT ER,REPAIR OR ABANDON HOUSE INDUSTRIAL SEfEA OR ISPOSAL SYSTEM 11.00 WA5T1=APPROVAL CHARGES CONNECTION CHARGE FES O` wER's Pmon i 1 00 AUTHORIZATION TOTAL FEE REf)IBURSEYEAT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NA ED COX- APPROVAL$ � DATE INSPECTOR�SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING _ TO THE.PUBLIC 3EW MEW HOUSE SEWER � SIGNED THIS- AY OF 19 CONNECT ADDITIONAL OWNER OR BUILDING OR WORK ORf1ERB,AGFA SEPTIC TANK,SEEP,PIT(S) r ADDRESS-- D/OR DRAT FIELD 1 HRREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION d3SPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY WITH ALL COUNTY QRDINAXCRS.AND STATE LAWS REGULATING ALTER,REPAIR,pEWER OR PLUF(9ING AND- SEWERS. S AGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AY PROPERLY R$GISTERED.AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF f CALIFORNIA OR THAT AY THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDER PROPERTY. B CICFILL SIGNATURE CESSPOOLS OF PERMITTEE JOHN A. LAM IE, COUNTY ENo1NESR VAMAnON ROBERT A.WOOD, CHIlF PI-so. INSPECTOR CL X.0. Q H.. . 4 ICEllI.w1a D - APPLICATION FOR PERMIT COUNTY OF LOS ANG71- SEWER—SEWAGE DISPOSAL �1 DtPARTb= OF COUNTY ENGINEER B=ING AND SAFETY DNffiION FADDRE" rOEW A. T.EHRTF.. Corm Ea VVILLLSM A. JENSM, Sup'[ o4 gFO TO FELL IN . / 16 DLIGAL ESCRIPTION LOT N OWNER �- O MAIL A BLOCK TRACT ADDRESS NO. OF ■LDO0. SIZIC OF LOT / NOW ON LOT CITY USE OF_ ac, DISTRICT NO. GROUP MAT PROCESSLD BY BUILDINGS ■K PG CONTRACTOR ADDRLSD c cnox ArA STATION DETTH CITY - No. STATE MANHOLE REFERENCE UPI'[1! REGISTRATION 40. •COUNTY NO. DESCRIPTION OF WORK FII TYPE OF CONNECTS H LENGTH FROM ■[SEW[R CONNECTING TO CUR■ P.L M.L.TO P.L.UBLIC BIW[R $5.00 F.C.NO. (1 ■EPTIC ANK,■ P [FIT OR CO.IMF.NO. *Tml JOB NO. \YJ FITS AND/OR Dy11NFl[LD 510.00 HOUR[SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. fY PRIVATE DISPOSAL SYSTEM S1A0 O CONN ADDITIONALO.OR AFFIDAVIT [IVIS[R RECORD.INDTR.NO. DATIC WORK TO HOUSE DEWER 53.00 OVERFLOW SEEPAGE PIT.DRAINFIELD a EXTN..CLb SFOOL,DRYW RL MA N HOLE $5.00 fn LTZ R.R A DO OU■ OR R. ID[NING R EWER OR DISPOSAL SYSTICM $3.00 STATIC ENCROACHMENT PIURMIT NO. INDUSTRIAL WAST[APPROVAL CHARGES OWNER'S PERPET s 2 00 AUTHORPLATION I TOTAL FEE CONNECTION CHARGE FES '1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NA to CON- REIMBURSEMENT FLI TRACTOR TO CONNECT THE A50VK DISCRIBID EJ(IBTINO DWLLLIHO TO TRE PUBLIC SEWER. APPROVALS DATE INSPLCTOR'S 91ONATURE SIGNED THIS_T DAY OF 14 OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SED O TANK.SEEP,PIT(8) AND STAT[ THAT THE ABOVE 12 CORRECT AND AOR[[ TO COMPLY AND OR DRAINFI[LD WITH ALL, COUNTORDINANCES AND STATIC LAWS REGULATING PLUMB Y INS AND SEW FRS. CESSPOOL El DRY-WELL[LJ_ El IHEREBY CERTIFY THAT I AM PROPERLY R[OIffIRID AND/OR ALTER,RI PAIR,SEWER OR LIC[NS[D Al R[OW R[D BY LOS ANGLES COUNTY AND STATE ICE OF SWAGB DISPOSAL■YDTM CALN'ORNIA OR THAT I AM THE LEGAL OWNER . A INTEND TO DISCONNECT PLUG AND REDID[ IN, THE ABOVE DESCRIBE SIDE TI P PLRTY. ABANDON HOUSE SEWER ■IONATURE OF P[RMI BACKFILL D IC TANKS ❑ _ S[Q.PIT fS) LJ CESSPOOLS 0CK. AMATION ROBERT A. WOOD Y. CATH SUPERVISING MECHANICAL ENGINEER O. 7.A94"446APPLICATION FOR PERMIT 1 DrWSION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL _ Dep-1—z t of Commtr Enghum Conat7.of Los AaQalss FADDFa 8 G&rihal r3iJOHN A. LAMBIE, CoLINTY ENGINEERC.ARGATT D.GRIFFIN, SUrT or Su1L�INa LITY REARM FOB. APPLICANT TO T= IN CROSS ST.LEGAL Kr 7 DESCRIPTION LOT NO. Ow11ER Walter KrohB MAIL 6262 Reno St.- BLOCI TRACT Q ADDRESS abGn_ ,�p� �� 0 OF ] SIZE OF LOT NGV/ON COT' CITY SIL Ariel TEL. MO. 26U1•Y321. USE OF BUILDINGS Residence DISTRICT NO. GROUP BK SL" PG CONTCACTOR , Belvedere Plumbing CO• � ,� `a ADDRESS SctOr St.' cox U=ON DATA l STATION i DEPTH CmTnrTE]-. N0. 62MANHOLE REFERENCE Iuppm STkTE LOWER REGISTRATION 110. 129568 ❑ COUNTY , NO. DESCRIPTION OF WORK FEE 1 HOUSE SEWER CONNECTING TO Y TYPE OF CT10 M LG O F¢Oi PUBLIC 99YER 3.50 iL. SE1itIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 3.00 - OVERFLOW SEEPAGE PIT,DRAINfIELDCO. IMP. X0. ;J 3O JOB X o EXTN•,CESSPOOL,DRYWELL MANHOLE $2.00 i HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTFM ® 4 1.00 TRUNX PERMIT NO. ROAD PERMIT NO. COAME ADDITIONAL BLDG.OR STATE ENCROACHMENT - WORK TO HOUSE SEWER $1.00 PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE INDIIJJSTRIA� SEWER OR DI ?OSA SYSTEM Q 1.00 1lIASSE APPROVAL ' CHARGES CONNECTION CHARGE FEE' OWNEH'S $ 2. 00 REIMBURSEMENT FEE , AUTEOBIZATION TOTAL FEE �n 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN RAYED COX- A"ROYA�LS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE-DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. L, NEN HOUSE SEWER SIGNED THIS ' 20th nAY OF October 19-65— CONNECT ADDITIONAL OWNER OR BUI TNG OR WORK ' OWNERS AGENT SEPTIC TANK,SEEP,PIT(9) ADDRESS AND/OR DRAIMFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONrALTER, POOL❑ DRY ❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. REPAIR,SEWER OR PLUMBING AND SEWERS. AGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AY PROPERLY REGISTERED AMD/ORONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFDON HOPLUGAUSE D CALIFORNIA OR THAT I AY THE LGGAL OWNER OF THE ABOVE SIGNATUER RE RESIDENT IA�I. FROPERTY FIIT SEPTIC TANKS (//' ,/ / .PIT(S) [3 CESSPOOLS❑ SIGNATURE !�"/ OF PERMITTEE � JOHN A. LAMBIE, COUNTY ENGINEER ATTON ROBERT A.WOOD, CIiI[F P—G. INSPECTOR SH LAC0 6.7 5 0 t3 OGT 2 51 0 A X7.0 0 IY 9 Io-ea 7e►ea8AO&tD ' APPLICATION FOR PERMIT u COUNTY OF LOS ANGELES SEWER SEWAGE DISPOSAL DOARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DP✓ISIQN BUILDIN0 • JOHN b TAbIM � County FnQK ADDRESS A. IE SEH. Sup'[ of Building �y S LOCA)-rry FO$ APPLICANT TO FILL IN `"°�'T• -ALD[1CRIFTIOH LOT NO. 10 W OWNER W p/ r' leR In A/ MAIL BLOCK TRAPT ADDRESS6A4 2 , RIZ[ OF LOT O/ b NO. OF ■LOOS. ry, NOW ON LOT CITY G C1/ TEL. NQ. %Lkz Z Uf[ OFDISTRICT GROUP MAF ■Y BU ILDIN Of Bx ro CONTRACTOR Own t-in ADDRESS C 'TION ATA STATION DEPTH CITY � TEL N O. STAT[ UPPER C REOIWr?ATI N NO. OUNTY MANHOLE R[FERENC[ . - NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION L[NOTH F110M HOUSE SEWER CONNECTING TO Y. CURS P.L M.L TO P.L PUBLIC f[W" $5.00 P.C.NO. SEPTIC TANK.SEEPAGE PIT OR CO.IMP.NO. JOB NO. O FITS AND/OR DRAINFI[LD Q $ 10.00 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM $3.00 I= CONNECT ADDITIO L■ R AFFIDAVIT SAID lS[ST RECORD.IN§TR'.NO. DATE O WORK TO HOUSE■EWER 1113.00 r OVERFLOW S[[PAG[PIT,DRAINFILLD �� LLVI [7(TN.,CESSPOOLDRYWELL YANHOLJL O i5.00 (� A DO HWY.OR ST.WID NINO N �^ii•� STAT[ENCROACHMENT _ PERMIT N0. ' INDUSTRIAL WAST[AJ""CIVAL OWNERPENNY/ S,PENNs x 00 CONNECTION CHARD[FIL C'HA RGES AOTHO&PLATION I TOTAL FEE '1 HAVE AT THI■ DAT[ A CONT CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FE[ TRACTOR TO CONNECT TH[ ABOVE D[§CRISED LXISTINO DWLLLINO TO THF PUBLIC S[W[R. APPROVALS DAT[ INSPECTOR'S SIGNATURE SIGNED THIO_�DAY OF Ifl_ OWNER OR NEW HOUSE SEWER OWNERS AGE CONNECT ADDITIONAL BU ILDI NO OR WOK ADORES* R■EFTIC TANK.SEEP,PIT(/) I HERESY ACKNOWL[DO[ THAT I HAVE THIP APDL TION AHD/OR DRAIN►IELD AND STAT[ THAT THE ABOVE IS CORRECT ND AGR[[ TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLU MBE [NO AND SWERS. CESSPOOL ❑ DRYWELL ❑ IHERESY CERTIFY THAT I AM PROPERLY RIGISTEE RD AND/OR ALTER.RKPAIR,SEWER OR LICE ENSD AS REQUIRED BY LOB ANGLES COUNTY AND STAT[ OF SEWAOE DISPOSAL SYRT[M CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INT[ TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE D CRIB[D RLSI KKTIA P [RTY. ABANDON HOUSE SEWER ' SIONATURE BACKFILL S[PT,�C TANK§ ❑ OF P[RMI SEP•PIT(S) IJ '[/SPOOLS AMON ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CASH 1 5 412D q_�_ 3 0 1 c ll 5.0 0—