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DEPAIVrMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL _ 1
orDIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER BUILO'NG
ADDRESS q
FOR APP CA T TO F LL IN LOCALITY
BUILDING NEAREST
ADDRESS F CROSS ST.
LOCALITY e^ :' DISTRICT NO. SERIAL Nb. PERMIT NO. c
NEAREST r`T' `J A 1 -1 — S
CROSS ST.
RECEIVED BY Readl br lnepeotion DATE ISSUED
OWNER
MAIL
ADDRES �` USE ZONE OCCUPANCY MAP
- I BK PG
CITY AJ I A—JTELAO.
CONTRACTOR0.IMP.N0. (�
c',:
ADDRESS (ft )OB N0.
CITY i L.NO. ` l
4 A. TRUNK PERMIT NO.
REGISTRATION N0. .1-7 � / 6 ��' COUNTY
_STATE ROAD PERMIT N0.
LEGAL
DESCRIPTION LOT NO. STATE ENCROACHMENT
� �E C�YC�-- PERMIT NO.
BLOCK TRACT INDUSTRIAL
WASTE APPROVAr �aj,7je-z /G sll_ /f U
SIZE OF LOT NN0.OF BLDGS.
(� Y NOW ON LOT CHARGES
USE OF
BUILDINGS CONNECTION GE FEE
NO. DESCRIPTION OF ORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE
PUBLIC SEWER a $ 3.50 _ .�U RECEIPT NO. TE BY
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDS
WORK TO HOUSE SEWER 1.00
ALTER OR REPAIR EXISTING NO. 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 C/
PITS AND/OR DRAINFIELD 2.00 STATIONDEPTH d
CESSPOOL—DRYWELL ���°
SPECIAL CONDITIONS ONLY 2.00 / MtIFP Gu_REFERENCE
E R S
TYPE OF CONNECTION LENGTH FROM j
OWNERS PERMIT $ 1 00 Y. Affdas -fte. M.L.TO P.L.
AUTHORIZATION TOTAL FEE s O
1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THjE PUBLIC SEWER
SIGNED THIS--- -__DAY OF.. �� ".Q >'-`L�19 NEW HOUSE SEWER
OWNER OR/j(� CONNECT ADDITIONAL
OWNERS AGENT .. __1�.:r .._ ....._._. BUILDING OR WORK
--•
SEPTIC TANK,SEEP.PIT(S)
ADDRESS------. ,x---'-•-�> >`..3,»�------•----- AND/OR DRAINFIELD
1 HEREBY ACKNOWLEDGE ^THAT 1 HAVE READ TH143 APPLI• CESSPOOL 0 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 ABOV DESCRIBED RESIDENTIAL PROPERTY. a BACKFILL SEPTIC TANKS7
SIGNATURE 1 SEEP.PIT(S)E] CESSPOOLS 1
t� 1 , "
OF PERMITTEE
76A642D 663 1/53
APPLICATION- FOR PERMIT
DrMON OF BUILDING AND S EWER--S EW�4G E D I S POSH L
D.parbn.2t of C—ntyq
County 0f Lo. A2IQ.T.. U I LDI R a �-O
Vn&J. FOX. COUNTY ENC11NXKR DRd
CA MATT D. GRIFFIN,SurT of frunmrP(e LOCALm
FOR APPLICANT TO ML 18 " o�tT -
LEGAL
DESCRIPTIOSI . LOT NO. OWN[1 Robert- Bubbe
rt
SLOG TRACT RAIL _ ;
DRE 9
XO.OF BL S.
SIZE OF LOT NOW ON 0 Rosemead TIL. N0. 7P_ 89641
USE OF
BUILDINGS DIfTA�O, of UP MAP
CONTRACTOR
ADDREa1 Gabriel
-Naw San Gabriel COMWIMON DATA
CITan YSG Sbriel TEL.NO. &T 0-031 STATION DEPTH
❑ STATE YANHOLg RSFERE:NC[
REGISTRATION NO. 104074 ❑ COUNTY UPPER ER
TYPE OF CO ION LENGTH FROM
No. DESCRIPTION OF WORK FEE T. CURB P L. Y.L.TO P.IL
HOUSE BE-WIR QONNECTINQ TO
PUBLIC SEWER ; 3.50
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG. OR eft AMN OCR- FN
CO. imp.NO. JOB.
WORK TO HOUSE SEWER 1.0.0
ALTER OR REPAIR EXISTINf
SEWER OR DISPOSAL SYSTEM 1.00 TRUNK PER-MIT NO. R P IT NO.
DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT
PERMIT NO.
AND/OR DISPOSAL SYSTEM 1.00
IAL
SEPTIC TANK,SEEPAGE PIT R PERMIT NO.
PITS AND/OR DRAINFIELD 2.00
CESSPOOL-DRYWFLL WASTE APPROVAL
SPECIAL CORDITE NS ONLY 2.00 'CHARGES
p� T CONNECTION C GE FEY
�g'
OS s 1 00
A=OH=TMN TOTAL FU J) REIYBU PENT FE[
TRACTORTHISCO ECT TH[ ABOVE DEBCR BED p(DATE CONTRACTED WITH THE ¢9T)NG OWELLIXG APPROVALS DATA INSPECTOR'S SIGNATURE
TO THE PUBLIC Si,YIER
SIGN(D THISAY OF - 19- NIW HOUSE SEWER
OWNER - DR CONNECT ADDITIONAL
OWNERS A6FNTtT`c4 �� BUILDING OR WORK
DDRESS f CTARR,BEEP PIT(f)
ACKNOWLEDGEVy�� AND/OR DRAIN 1[Lb
AND STATE HATHY hBOVS 11TCORRECT AND AGRSi THIS APPLICATION CESSPOOL❑ DYYWELL❑
LY
WITH ALL COUNTY ORDIKA110ES AND STATE LAWS SEGULATING ALTER. REPAIR,SH
PLUMBING AND SEWERS. - SEWAGE DISPOSAL=
1 HEREBY CERTIFY THAT I All PROPERLY REGISTERED AND/OR
LICENS AS REQWRFD BY LOa ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND
CALIFORNIA OR THAM 1 AY TH[ LEGAL OWNKR Of THY ABOV[ ABANDON HOUSE SLWI(R
DESCRIBED RESIDENTIAL PROPTE�RTY. BACKFILL C TANKS❑
uV IMMM GTS PIT d M"DOLS
SIGNATURE
OF PERYITTE$
WILLIAM J. IrOX.COUNTY 001HKIER VAL=TIOtf
_. 6T3 1 9`; AUG 4 4 2.0 0
D[PIT Y DEI•UTY
BY RT
m DEPUTY D
YY
f - -nFa A>Fr'`(ENT of OOUNTY Errs SEWER—SEWAGE DISPOSAL 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOUNTY OF LOS ANGIET
Il WILLIAM J. FOX, COUNTY ENOIN[aR BUILDIMS
RESS �
�
ADD
FOR APPLI T �N LOCALITY
BUILDING NEAREST
ADDRESS .5O d CROSS ST.
LOCALITY DISTRICT NO. SERIAL N0. I PERMIT NO.
� NEAREST
S � s
OROBB ST. \
EOEIVED BY Ready for IospKUe■ DATE ISSUED
OWNER —
MAIL /�-�� USE ZONE OGOUPANCY MAP
ADDRESS `' \/
BK pa
CITY TlLM0. — Z —
CONTRACTOR
CO.In
N0. 144C
-" l
h
ADDRESS JOB.NO. I---------
CITY TELMO. TRUNK PERMIT NO.
REGISTRATION M0. I � I 0 / STATE
ROAD PERMIT NO.
DE8[XRIPTIOM LOT N0.
LEGAL �v e—r— STATE ENCROACHMENT
PERMIT NO.
BLOCK TRACT INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT JV NO.
OON LOTF OLDS CHARGES
USE OF
BUILDINGS CONNECTIO RBF FEE
N0. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE
OUSE SEWER 00 M IM 0
PUBLIC SEWER 5.86 RECEIPT NO. E BY
HOUSE EW MM OTING TO
PRIVATE DISPOSAL SYSTEM Im
CONNECT AOOITIONAL 1300.OR EXOEPTION RECORDED
WORK TO HOUSE SEWER I-M
ALTER OR REPAIR IMG NC' DATE BY
SEWER OR DISPOSAL SYSTEM 1.60
D18GONNECY AND ABANDON BE-WEB
AND OR DISPOSAL SYSTEM 1.00 CONNECTION DATA
SEPTIC AN ,S PA PIT OR
PITS AMD OR GRAINFIELD X m STATION DE
C Egg POOL—DRYWELL
SPEOIAL CONDITIONS ONLY SAN EF{-RF-NCE
UPPER LOWER
TYPE OF CONNECTION LENGTH F
OWNERS PE;LmrT $ 1 00 Y. cup- P.L M.L.TO P.L.
J
AMOREZA11ON TOTAL FES
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
OONTRAOTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUDUO SEWER .
SIGNED THIS DAY OF 19_ NEW HOUSE SEWER
OWNER OR CONNECT ADDITIONAL �Ay
ERS AGENT BUILDING OR K WORK G v ' X
ADDRESS AND/OR DSEPTIO TAN
RAINFIELD IT(S)
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] DRYWELL
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTS REPAIR,SEWER OR
REGULATING PLUMPING AND SEWERS. SEWAGE DISPOSAL SYSTEM
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND
AND STAT[ OF CALIFORNIA OR THAT 1 AN THE LEGAL OWN- ABANDON HOUSESEWER
ER OF THE ABOTDESCRI RESJD A P AN ❑
SIGNATURE S[EP.PIT(S)E] OESBPOOLB E3
OF PERMITTEE lij
T6A6G. 693 T/6L