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Home My Public Portal About9532 GIDLEY ST_Sewer__ r ' APPLICATION FOR PERMIT DIVISION OF BUIMINO AND SAFETY SEWER—SEWAGE DISPOSAL ofCo—lT Etulnew C*=tT of yo. Angsim rL LDING JOHN A. LAMBIE, COUNTY ENGINE-ft DRmE ^`jCA¢6ATT D. GRIFFIN, Hur^r or BUILDING CALITY NFARIMT FOR APPLICANT TO FELL IN CST. LEGA{I. ORIS DESCR(PFTI011 LOT XO. 11 BLOCl TRACT ADD" G t NOVof el paa. CIT TE]... X . i SIZE OF LOT a Y0 0!1 LOT USE OF ` DISTRICT X GROUP IAP BUILDING!! _ �[ - COXTRACTO ADISRES! t l O� A - ' /7AT10N PT - CITY MANHOLE BEFEIIEMMCI ❑ STATE REGISTRATION 8� ❑ CoUttTY No. DFSCPJPTION OF WbFzk FEE HOUSE SE1tER CO XEC7IN8 TO TYPE OF CONNECTION LHIIGTH FROM PUBLIC SEWER 3.50 .t.TO F.L. SMIC.S[tNK,SEEPAGH PI OR PTTs AND/OR DR_A ", D 3.00 OVERFLOV'SEEPAGE PIT,DRAI FFELD P.C. NO. EXTN.,CESSPOOL,DRYWELL MANHOLE 2.00 Co. IMP. N0, JOB N0. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM :1.00 TRUNK PERMIT X0. ROAD PERMIT XO CONNECT ADDJTIONAt BLDG.OR STATS ENCROACHMENT WORK TO HOUSE SEIVER ® A 1.00 PERMIT NO. - ALTER,REPAIR OR ABANDHOUSE INDUSTRIA{. SEW" R DISPOSAL SYSTON Y 1.00 WASTE APPR VAL CHARGES CONNECTION CHARGE FEE _ OWNTE7A.'$ PEADUT S 1 AIITHOR"•T0ION TMX.L nm REIMBURSEMENT FEE 1 HAVEAT THIS DATE A CONTRACT WITH T14E HEREIN NAMED CON- APPROVALS DAT INSP CTOR'SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EkISTING DWELLING TO THE PUBLIC SEW£R. F.� NEW HOUSE SEWER SIGNED THIS nAY OF 1fl lc— CONNECT ADDITIONAL OWNER OR BUILDING OR RK OWNERS AGENT SEPTIC TANK,SEEP,P1T(3) A D ESz"ll AILD/OR DRAINFIELD - - I HEREBY ACKNOWIEDGE THAT 1 VE READ THIS kPPLICAZTOX CFASPOOLCT DRYWELL❑ AND STATE THAT THE ABOVE Ia C RECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBIN-G AND SEWERS, SEWAGE DISPOSAL SYSTEM I HEREBY CgRTIFY THAT I AY PROPERLY REGISTERED AND/OR ' DISCONNECT PLUG AND LICENSED AS REOUIF91) BY LOS ANGELES COUNTY AX STATIM OF ABANDON USEO -EVER. �� CALIFORNIA OR THAT 1 AY THE ��aaaaaauuuuu4�� OWNER OF HE ABOVE DESCRIBED RESIDENRO E / BACKFILL SEPTIC TANKS❑ SIGN/TURF SI P.PIT( ❑ SP00 OF pERM4TTEE JOHN A. LAMBIE. Co NTY EN61NEER vALIDATIOD' -�ROBERT A.WOODT, CHIEF PLAG. IINNS_PE oR u. Y.0. iL_r '_','J - - - LkC0 7 5 4 5 APR 2 5 4 4.5 0kA f�pvr APPLICATION FOR PERMIT'- 1 DIVISION OF BUELDTNG AND SAFETY SEWS SEWAGE DISPOSAL of Los A2"I" OUILDIXG JOHN A. LAMBIE,COUNTY ENGINKER ADDYEU m CA89ATT D. 6RIFyF'IN, Dup T or BUrIDINo LOCALITY IREAREV FOR APPLICANT TO FILL IN CRM ST. LEGAL DESCRIPTION L07110 Or"ER BLOCK TRACT ilAl LADD NO. O1 BLD95. CITY SIZE OF LOT NO.ON LOT USE OF DISTRLCT NO. GROUP YAP BUILDINGS BK PG COIITRACTO ABbRES6 le . �OCT)(Q Tei ATION DEPTH CITY, X0. YANHOLS RE"Rj?ACE P �^ ❑ STATE REGISTRATION 110. 0 COUNTY ,' 1 No. DESCRIPTION OF WORK f FEE I}� ROUSE SER CONNECTING TO - E OF COXXECTfO�� X GTH'F$ y PUBLIC SEWER 3.50 _ L, SEPTIC TAMK,SEEPAGE PIT QR - PIT "Q/OR DNAINFIELD 3.00 O LOW SEEPAGE PIT. DRAINFIELD 1?,C- e0, TN.,CESSPOOL,DRYWELL MANHOLE Q S 2.00 CO. IMP. N0. JOB NO. HOUSE SEWER CONNECTING TO - - ppo TE DISPOSAL BY ® 11.00 TRUNK PERMIT FUO. ROAD PERMIT 110 COXXE ADDITIONAL BLDG,OR -FA''ff��EhCROACHYEXT �ORK TO HOUSE SEWER Q f 1.00 PFRYIT N0. A1I,,TER.'REPAIR OR ABANDON HOUSE INDUSTRIAL SEtiYER OR DISPOSAL SYSTEM LbD WASTE APPROVAL it CHARGES CONNECTION CHARGE FEY- WNER'S PE$)NIIT t AMOI�I'LATION TOTAL FM O 6 REIYBUARSpE�YENT FEE I-HAVE AT THIS DATA A CONTRACT WITH THE HEREHII NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EAIS'CIXG DWELLING TO THE PUB-LIC SEWER. NEW HOUSE SERER SIGNED THIS nAY OF 19 CONNECT ADDITIONAL OWNER OR BUILDING OR WORK - OWNERS AGENT SEPTIC TANK,SEEP,PIT(S) ADDRES AILD/OR DRAINFIELD IHEEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CEgSpOOL❑ DRYWELL Cl - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEW-ER OR - .PLUMBING AND SEWERS. SEW GE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR DISCOXNEC'f PLUG AND LICENSED AS REQUIRED BY 403 ANGELES C AND STA P AXDOX HOUSE SEW CALIFORNIA OR THAT Y THE LBGA� ER OF THB E DESCRLBEQ RESIDENT P PEA BA9KFILL SEPTIC TANKS❑ $IONATUR P.PIT(S) ❑ OESSPOOLS OF FF Tn JOHN A. LAAMBI , COUNTY ENGINSHR VALIDATION�`�� ROBERT A. WOOD, C(ilsr PLsa./IGNSPe OR CI. X.O. _/CAltl J . �75Rr_, APR25 . 5 . 25-00 " DEPABThiEPIT OF COUNTY ENG32gl Es SEWER-SEWAGE DISPOSAL 1 -eMSION OF BUn DING AND SAFETY PERMIT APPLICATION COUNTY OF IA$ ANCO>iL>!I� WILLIAM J. FOX, COUNTY KNOIN[[H BUILDING ADDRESS (� a FOR �PLI TO LL IN / LOCALITY BUILDINGJ�S /� -� 'P�+a r��4 ' cROSSn. ADDRESS LOCALITY DISTRICT NO. SERIAL N0. PERMIT NO. C NEAREST A --— /� � S ORO S8 ST. t BECEIV B beady/or Ittplaucs T 1 D OWNER % f ��UAA O MAIL_ ry USE OOCUPAIICY BK PQ Q1TYRtA TKL.NO. ' Q� CONTRACTOR c J CO.IMP.NO. ADDRESS �_ • JOS.N0. - — CITY �{ TEL N0. TRUNK PERMIT NO. - STATE REGISTRATION N0. COUNTY ROAD PERMIT M0.LEG1! DFMBI,PTION LOT 110,424-2: STATE ENOROAOHMEII7_ PERMIT N0. BLOCK' INDUSTRIAL T'► lj` `+ -rs4• r �.. WASTE APPROVAL ! SIZE OF LOT X Z NOW ON LOTS CHARGE8 USE OF1 ` ' }' B +' �'�T' - •r� CONNECTION CHARGE R BUILDINGS NO. DESCRIPTION OF WORK ow REIN BURSEMENT Ffifi HOUSE SEWER PUBLIDD e[WER�MWECTIM IL" N0. DATE BY OUSE SEWIER CON NQ PRIVATE DISPOSAL SYSTEM IAM ADDITIOmArliLOO.OB XXCEPTIOECORDED WORK TO HOUSE SEWER 1.00 C- ALTER OR REPAIRNG DA BY SEWER OR DISPOSAL SYSTEM Im DISCONNECT AND ABANOON 9ftitill AND OR DISPOSAL SYSTEM IAOCONNECTION DATA I TAM PAGE PIT OR PITS AND/OR DRAINFIELD LM STATION DEPTH 17 CESWOOL--DRYWELL SPECIAL QONDITIONS ONLY 2_00 Z YAM REFEREMC LOWER TYPE 0 COM ECTION LENGTH FROM OWNERS PER�AIT ; I 00 -In ellp- M.L.TO P.L AUTHORQAnON TOTAL FSE 1 HAVE THIS DATA CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLJO SEWER SIGNED THIS f1AY OF 19_ NEW HOUSE SEWER � OWNER OR DON NEOT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIO TANK.SEEP.PIT(*) ADDRESS AND/ORD INFIELD 1 E*S HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS "PLI- OPOOL E] DRYWELL CATION AND STATE THY WITH ALL AT THE ABOVE IS CORRECT AND AGREETO N REGULATING� PLUYBJNA AND S[WER*ANCp AMD STATE LAWS A�WA�E DIASTOYIIEWSYRT R AND/OR 0 NGED AS REQUIRED BYBY CERTIFY THAT I ANPROPLOS ASNGELES LY (COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWN. ABANDON HOUSESEWER [R OF THE ABOVE DEiO0 TANKS A _. P.PIT(S) O SIGNATURE *fiE � E *POOLYE] OF PERMITTEE TS B41♦ 603 Inas