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Home My Public Portal About9620 GIDLEY ST_Sewer__ 'tir y 76;y. 642D IS�eD. -+a7+ APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7BUILDING O 1 !FOR APPLICANT TO FILL INLXGAL DESCRIPTION LOT NO. MAIL BLOCK T ADDRW NO. OF BLDS. SIZE OF LOT HOW ON G LOT CITY TEL NO. UB[ OF Q �i OIEuICT M0. ■ROUP MAF P I'D BY ■UILDING■ ; OR PB CONTRACTOR T LTi L 9/ ADDRW L e' L + QIV C.ONNECrION DAA CITY T[L. NO. Sl STATION �f D[FTH STATE +-I MANHOLE REFERENCE .Q UPPSJ! L IC[NBE NO, 6LA7S :J �SS No. . DEsCFflPTI0N OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SIEW[R CONN[CTI NO TO Y. CURB Y.L.TO P.L. PUBLIC SEWER 0 $7.00 P.C.NO. • PTC TAH K.■ Aa[NT CR JOB NO. PITS ANDIOR DRAINFI ELD 510.00 CO.IMP.NO. HOUSE SEW[R COHNIFCTING-TO TRUNK PERMIT NO. ROAD P[RM1T NO. IL PRIVATE DIf REAL SYSTEM' $3.00 O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT [AI�[� -[A>f RECORD.IN NO. DATE U WORK TO HOUSE SEW $3.00 OVERFLOW SEEPAGE PTT.DRAINFI[LD O EXTN..C[ [ L SSPOOL.DRYWL80.00 f ALTER.R A R R ABA D ■ HWY.OR ST.WIDIENIN SEWER OR 0 SPO■AL SYBTEM •53.00 STATE ENCROACHM MANHOLE . $7.00 PERMIT NO. O_ INDUSTRIAL �T�p•a WAST[APPROVAL O E1I��}y�L.il JPERMITj 3 04 CHARGES AUTHORMATION TOTAL MM O CONNECTION CHARGE F[I I HAVE AT THIS DATE A CONTRACT WITH TH[ HEREIN r1AM<D CON- R[IMBURS[M[HT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXI■TINQDWELLING APPROVAL TO THE PUBLIC SEWER. TZ I ECTov SIGNATURE SIGNED THIS DAY 1D_ OWN"OR NEW HOUSE SEWER AGENT OWNERS i CO NN[CT ADDITIONAL BUILDING OR WORK ADDRESS I HEREBY ACKNOWLEDGE THAT I HAV[ D THIS APPLICATION SEPTIC TANK.■ PIT(S) AND/OR DRAINFI[LKL D AND STAT[ THAT THE ABOVE I■ CORRECT AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND •EWER•. CESSPOOL ❑ DRYW[LL ❑ IHERBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENB[D AS R[OUIRED BY LOS ANGLES COUNTY AND STATE OF ■[WAG[DISPOSAL SYSTEM CALIFORNIA OR THA 1 M THE OAL OWNER OF. AND I END TO DISCONNECT PLUG AND REBID[ IN, THE A DESCR RESIDENTIAL PRO ABANDON HOUSE SCW[R SIGNATURE BACKFI ■[PT}�yC TANK■ ❑ OF PERMTTTLI SEEP. (S) LJ POOLS ALIDATION CR. 4.0. CADH —q A0260,Z3M2110D 6r00N � C[e0e I:-0e TBA e41D APPLICATION FOR PERMIT COUNTY OF LOS ANGELS SF-WER-SEWAGE DISPOSAL DtrARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ■UILDING JOHN A.LAMBIE, COUNTY ENa1N[[R AODRda COLEMAN W. JENKINS, SUIP'T. OF BUILDING LOCALITY H BAREST FOR APPLICANT TO FELL IN CROSS ST. ECIAL F9-L fCRIPTION LOT NO. OWM tw , MAIL OCK TRACT ADflRESS �/ fL/ NO. OF SLD41. -� E OF LOT NOW OM LOT CITY NO. [ OF DI STIR II NO GROUP YAP PROCESSED IFY ILDINGS _ SK RQQ CONTRACTOR • ADDRESS C.OM E=ON DATA CITY r NO. STATION aaa�� D[rTH STATE LIC MANHOLE REFERENCE LICENSE NO, tt-mm < LAN NO. DEECRIFTION OF WORK FEE TYPE OF CONNECTION LitmarrH rrm HOUSE SEWER CONNECTING TO Y. CUBill P.L- M.L-TO P. PUBLIC SEWER 63.00 P.C.NO. SEPTIC TAN G[P PITS AND/OR DRAINFI[LD 510.00 CO.IMP.NO. JOB NO. OUSE SEWER CONNECT]NO TO TRUNK PERMIT NO, ROAD PERMIT NO. S PRIVATE DISPOSAL YRT[M 55.00 O CONNECT ADDITIO .OR AFFIDAVIT I WMv IIAIIRIIT RECORD.INSTR.NO. DATZ U WORK TO HOUSE SEWER 57.00 D. OVERFLOW SEEPAGE PIT.DRAINFIELD [7CTN..CEBSPOOL.DRYWELLMANHOLE/8 oI1.00 A HWY. OR ST.WIDENING ;EWER GSI SYSTEM 0 $7.00 STATE ENCROACHMENT I_ PERMIT NO. 'Z1 INDUQTRIAL WASTE APPROVAL PEHII�IT a o0 OWNER'S CHARD Yl/lY i"aJa a s� AUTHOETLATION TOTAL FEE CONNECTION CHARGE E IHAV[ AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. RN [IMSURSEM[ T FEE TRACTOR TCLCONN[CT THE ABOVE DESCRI TO THE FU SLAC SEW APPEOVAM DATE IKQECTOR'■SIGNATURE SIGNED THIS,r DAY O�8-0r tO OWNER OR NEW HOUSE ST<WE'R OWNERS AG CONNECT ADOfTIONAL JW BUILDING OR WORK ADDR •ETT IC TANK.SEEP.PIT{S) I HERESY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICATION AND/OR ORA I H FIELD AND STAT[ THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU LAT NQ SPOOL ❑ DR FLUMSI NO AND SEWERS. YW[LL ❑ IHERESY CERTIFY 1 M PROrWRLY REOI SED AND/OR ALTER.REPAIR.BEWER OR LICENSED AS RtiOUIRED ANGLES CO AND ATT[ OF ■[WAG[DISFOSAL SYSTEM CACI PO RNIA OR THAT I [ LEGAL OWN INTND TO DISCONNECT PLUG AND RdID[ IH, TF1[ ASO RISE ER RESID RTY• ABANDON HOUSE SEWER D SI0F ATURE PERMTTTEI BACKFILL IC TANKS �] SEI r.PIT(S) ❑ CESSrcK LS AMATION JACK R. ALLEN M.o. CASH SUPERVISING MECHANICAL ENGINEER I M'._ 0 1 0 51:� SAY . 5 1 0 D 5.00- ,t � �: : APPLICATION 70 PERMIT COMM OF LOS ANGELESSEWER-SEWAG DISPOSAL TY DUARTNM OF COUNENS BUMMtG AND'BAFM DIMMION BUILDING �D ,,]�} co�a� ADDRIfS 17 `"'4�" D. °��'� LDCALIrr FOE APPLE TO MEAR�T LEGAL mm D[BCRIPTIOM LOT N0. BLOC[ TRACT / MAJL ADD NO.OF BLDGS. SIZE OF LOT NOW ON LOT CrTT NO. USE OF' B ILDINGS DISTRICT NO. GROUP LAP BT BI PG . CONTRACTOR{ ADDUSS LJ COMOCTION DATA L N0. STATION DEPTH ATE NAMHOLE-R F13MMCK REGISTRATION NO. zez O COUNTY No ON OF WORK FEE ROUSECSE7ER IlIXECTING TO ` SEPTIC TANK,9EHPAGE PIT OR S•00 T TYPE OF �� ON X.L.Lmqo FROM ozo P1 AN OR DRAIXFIELD 0 Moo OVERFLOW MPAGELM CE33pwl.0 TIT DRAINFI" H ER CONNECTI GTO P.C'M0. ATM MML CO.ILP.No. JOB N0. CONVECT AD f fiAAL BLDG. R 0 SIM TRUNK PEYIIT no.- RO1D PnIIT N0. WORD TD HOl1SEN�N0 E�'BA�XDON HOUSE STATE ENCROACHLSNT DO PERMIT NO. INDUSTRIAL 1A C HAIR G RS ovnumis PEnff 00 CORM=ON CHAR"FER AUTSOETZ MN I TOTAL FEE IREIMBURSELEAT FE$ 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN N"KD CON- TRACTOR TO CONNE THI ABOVE DESQBkM MFnNG DV9LUNG AMOVALS DATE INSPECTbR'S SIQNATURE TO THK PUBLIC SIGNED Tlit AT OF NEW HOUSE SEWER D MMGOW CONNKCT ADDITIONAL BUILDING OR WORK ALD C TANK,$EE;?.PIT(S) MOR DRAINFIELD 1 HIIRKHT ACKNOWLEDGE THAT 1 HATT READ THIS APPLICATION AND STATI THAT THE AAII}}gqYE IS CORRECT AND AGREE TO COMPLT CESZPDO DRTWELL WITH ALL COUNTY ORDINANCES AMD STATS LAWS REGULATING ALTS REPAIIREWER OR PLULBIRQ AILD EE7ERS. AGE DISPOSAL STSTE■ 1 HEREBT CERTIFY THAT 1 A■ PROPK9LT RItGISTMED AND/OR DI ONNECT PLUG AND LI ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT•[ OF CA�FORNIA 0R THAT 1 AN TLEGAL OWNER OF THE ABOYL ABANDON HOUSE SEW£E DL;.SCRIBED IIIt1DHE EXTLA1 ROPMM. WIMP ACILFiLL C TANKf SIGMATURa WI Pir S CEdSPW L OF PE�7 `TALIDATIO ROBERT A. WOOD GL !L 0. ^.s SUIRK L&IIINO ALKCHANLCAL XHC;LtJXM 4 3 1 0 -0 AUG � i u D 5 .0 0 • p 4 cAPPLICATION FOR PERMIT 76A5A 842D COUNTY OF LOS ANGELES SEWER--SEWAGE DISPOSAL. DBPARTMP_� OP COUNTY E=r;ER BU AND SAFETY DIVVIISFON ■ ILDING O �IpL� JOHN A. LAMBIE, COUNTY ENGIN[[R ADDRESS COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY Y 7—r PLI�MVry APPLICANTTO FWILL IN CROSS ST. LO W I9rL Z 9— (PRINT OR TYPE ONLY) DESCRIPTION I-OT NO. OWNER Q MAIL BLOCK TRACT •/� a_\ ADDRK" ' SIxE OF Jot R Kv ry NO. LOTY• CITY TE M i C-1� TEL n0. USE OF 11� I>pt*1 DISTRICT HO. .• OUP CLAe! MAP PROCESSED BY ■LHLDINO• u 1/[V •V ■K p! QONT?tACTOR 1 T . ADDREM 101-ILA ' Co ON DATA CITY 0�1 tf TSL.'NO. STATION D[FTH STATE LIC MANHOLE R"KF(tk CE UPPER ` LICENSE NO, CL AIS G LOWER No. I DESCRLPTION OR WORK P[[ TYP9`bC<NkKCTION LiNaTH FROM HOUR[SEWER CONNECTING TO Y. URS h.L M.L.TO P.L. PUBLIC 9E1VER !e. DTIC TANK.S[CP G[P oftP.G NO. Co.IMP.NO. NO. PITY AND/OR DM1NF1[LD � !10.00 JO■ HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. AD lERMaT NO. PRIVATE DISPOGAL SYSTEM 82,00 CL CONNECT ADDITIONAL■ AVIT.OR AFFID •MT" -L""rwr RECORD. O.NDAT O WOR!(TO HOUSE SEWER 0 57.00 u OVERFLOW SEEPAGE FIT.DRAINFIELD K)CTN..C[SSPOoLDkYW[LL.MANHOLE 0 $5.00 ALTER.REPAIR OR AWAN136N HOUSE HVVY.OR ST.WIDENING IF�OI1`..........'.., ■EWER bR DISPOSAL SYSTEM 49 $3.00 STAT[ENCROACHMENT W PERMIT NO. ILLLLLLLIII I�I 1 INDUSTRIAL {n WAST[APPROVAL Li �OWNz�S PERMIT S CHARGES �11ON TOTAL 1 CONNECTION CHARD[F.AU HO I•HAV[ AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMxy RItMENT FEE TRACTOR TO CONNECT Til[ ABOVE D[/CRIS[D APPROVALS TO TRB [ PULIC APP • �y' ROVALS DATE INShtCYO R'■61ONATURK SLGNED THIS DAY OF 1D� OWNER DR fes//fit E,�r �L u M �� NEW Houe[fnv[R OWNERS AG I'V IT CONNECT AWITIONAL SIJ ILDI NO OR WORK • ADDRESS ■[FTIC TANK.SEET,PIT(g) l HERESY ACKNOWGR LEDE THAT I HAVE rA.D THIS APPLICATION AND/ORRL DAYNFIED AND •TAT[ THAT THE ABOVE le CORRECT AND AQREE TO COMPLY WITH ALI,. COUNTY 0RDINAH CEI AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ HEREBY CERTIFY THAT 1 AM PROPERLY RIGIS✓<ER® AHD/OR ALTER,REPAIR.i ER OR LIC "ED AS REQUIRED W' LOS ANGLES COUNTY AHD .STATE OF SEW AGE blflOSAL SYSTEM CALIFORNIA OR THAT 1 M TH[ LEGAL OWNER OP• AND INTEND TO DISCO NECT PLUG AND RESIDE IH. THE A■ DESCRIBEIj R I I TIAL FR ASAN13ON ROUSE S[WRIF BIGNATUR[ ` El OF PK RMTTTQ BAC%FILL■ C TANKS SEaP.PIT(S) CESSPOOLS ALIISATION JACK R. ALLCN SUPERVISING MECHANICAL ENGINEER CK. �. CATH I �. 2:0• . :"2010 0 6.00 ti y.• ' ;��,>�o'° APPLICATION FOR PERMIT COUN'T'Y OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SVP'T. OF BUILDING LOCA L I'f`! 4a NEAREST APPLICANT O IWILL IN c"Oif ST. (PRINT OR TYPE NLY) LEGAL [STATE CRIPTION LOT NO. OWNER MAIL CK TRACT ADDRESS • NO. OF BLDOS. SIZE OF LOT NOW OM LOT CITY TEL NO. DISTRICT N0. GROUP CLADS MAP PROCE 8rD BYDING■ BK pGTRACTOR aR[a CONNECTION DATA STATION DEPTH NO. LI MANHOLE REFERENCENSE NO. CiAif CIS 62 No. .DE8CRIPTION Or FEE TYFE OF CONNECTION LENGTH FROM ArHOUSE■EWER CONNECTING TO Y. CURB P.L M.L.TO P.L PUBLIC SI WXR $5.00 P.C.NO SEPTIC A [PIT OR JOB NO. PITS AHD/OR DRAINFIELD 510.00 CO.IMP.NO. HOUSE■[WwR CONNECTING TO TRUNK PBRFIIT NO. ROAD PERMIT ND. PRIVATE DISPOSAL SYSTEM 61.00 0 CONNECT ADDITION OEA ■LD .OR AFFIDAVIT BAlYEt "EST RECORD.INSTR.NO. DATE U WORK TO ROUSE SEWER 5340 OVERFLOW■EEPAG[PIT.DRAINFI[LD OL EXTN..CESSPOOG..DRYW[LLIIANHOLE SB.00 O A R AIR O A ON H U HWY.OR ST.WIDENING vi fIW ER OR DISPOSAL SYSTEM 43.00 STAT[QICROACHM[MT /7 PERMIT NO. yr INDuruelAL N WASTKTAR R VAL Z HARDa Q�S PEEMlT s 2 00 AUMOR ATION TOTAL FEE CONNECTION CHARD[FE[ 1 HAVE AT THISDATE A CONTRACT WITH THE HEREIN NAMED COM- REI M■U PIS it [ MNT FEE A!' cl TRACTOR TO CONNECT THE ABOVE DED S N SCRIBE [XISi1N0 DWELLO V TO THE PUBLIC SSWER. APPROVALS DATE IN" RISS[ TUR[ SIGNED THIS DAY QF to_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL SU ILDI NO OR WORK ADDRESS SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOW L4DG[ THAT I HAVE READ THIS APPLAR ICTION AND/OR DAINFI[LD AHD STAT[ THAT THE ABgV[ If CORRECT AND AOR[[ TO COMPLY Y WITH ALL COUNTORDINANCU AND STA7E LAWS REGU LATIMO PLUMBING AND SI WXRS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT 1 AM PROPERER,LY REGISTERED AND/OR ALTREPAIR,SEWER OR LIC[NS[D AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOGAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AHD INTEND TO DISCONNECT PLUG AND T REBID[ IN, THE ABOVE DKSCRI149D RESIDENTIAL PROPERY. ABANDON HOUSE SEWER n SIGNATURE R[ ❑ OF PERMTTTEII BACKFILL■[ C TANKS S[[R.PIT(S) C'.tLSPOOtA VALIDATION JACK R. ALL<N SUPERVISING MECHANICAL ENGINIZER CASH _ 06819 JUN 410 D 5.00N 4 li