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HomeMy Public PortalAbout9859 HOWLAND DR_Sewer__ DER'UtTAIENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL . 1 --DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES euILG1IS /� ' WILLIAM J. FOX, COUNTY ENGINEER I ' RESS H-0 (/ 4.41V6 O? FO �APPLICANT TO FILL IN LOCALITYNEAREST ADDRESS ��✓ 7 //A9W/Qh/( J�///r CROSSST. LOCALITY. �� � ! /T �!eu.hTtl DISTRICT N0. SERIAL NO. PERMIT N0. NEARESTn0� �fai✓�4h7AhteS —� A `/G�9 307 97 S CROSS ST. gRE.�CE�IIV�E,D BY Ready for Inspection DATE ISSUED OWNER ,'/M CN /� �dh (iL{ie� //`///i(I►m� ��s)' ".ry MAIL J USEZONE OCCUPANCY MAP ADDRESS --eJpaS y /),—/o ((hy/ �//� BK QPG / CITY ��/* C //e TELAO. LTO �O 7b Ag(� S rr�IM rwL F / ill CONTRACTOR/ CO.IMP.NO. 1 Q ' ADDRESS Sd /71 JOB N0. CITY �� �.j.� ,( TEL.NO. SQ /h G TRUNK PERMIT NO. ❑ STATE REGISTRATION NO. �J ❑ COUNTY ROAD PERMIT NO. DESCRLEGIPTION LOT NO. { STATE ENCROACHMENT ( PERMIT NO. BLOCK TRACT .`7a.+� INDUSTRIAL - WASTE.APPROVAL SIZE OF LOT So'x/6. NO.OF BLDG$. 2 CHARGES NOW ON LOT USE OF BUILDINGS �1 t/ QSQ CONNECTION ARGE FEE NO. DESCRIPTION OF WORK E REIMBURSEMENTF HOUSE SEWER CONNECTING TO PU BLICSEWER @ $ 3.50 RECEIPT NO. I E I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR ^ EXCEPTION RECOft9D WORK TO HOUSESEWER I.00 (/D ALTER OR REPAIR EXISTING NO' I DATE Y SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR GRAINFIELD 2.00STATION /p� D'Lf DEPTH 6/ CESSPOOL—DRYWELL SPE IAL CONDITIONS ONLY 2.00 1 /MAN ERENCE LOWER U' r I - TYPEOFCONNECTI LENGTH FROM. OWNERS I PERMIT s I DD Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL-FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER __� NEWHOUSESEWER I, SIGNED THIS.....2...... DAY OF...../..._\_...._..... ........._--- 19�.. _ OWNER OR !/� CONNECT ADDITIONAL OWNERS AGE-1�... _...... --------r/..._. BUILDING OR WORK ADDRESS. ....._........ ... YA EPTIC TANKSEEP. pND/OR GRAINFIELD IT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP9. CESSPOOL[:IDRYWELL E] 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 AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE D9S&JRIBED RESID TIAL PROPERTY. BACKFILL SEPTIC TANKS E] SIGNATURE SEEP.PIT(S)Q CESSPOOLS 0 OF PERMITTE _ ._.. .._.._....__ ..... _ ------------ 76A642A 663 7/53 DEFARTr*MNT OF COUNTY ENGLNEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER I BUILDING ADDRESS CF,�OR rAPPLICANT TO FILL/IN LOCALITY BUILDING ^'/- -/'• ,/ NEAREST AID KESSCROSS ST. J LOCALITY DISTRICT NO. A- SERIAL NO. PERMIT NO. c NEAREST CROSS ST. RECEIVYReady for InaBection j�E ISS OWNER MAIL (��� Li B /Jr USE ZONE I 0�ANCY I BK AP PG ADDRESS 0Qt�/�"�� /J CITY 44 G. - CO.IMP u TEL.NO. /` / CONTRACTOR- C. NDftlllB ham Co. of Tp--l- �h" .N0. Q // ADDRESS t 5933 N. CLOVERLY A.­ JOB. (�I y JOB.NO. CITY j;5, TEMPLETj jZOO..a F/� TRUNK PERMIT NO. (J 7/ REGISTRATION N0. 7/ 0 COUNTY ROAD PERMIT NO. �3 S '7S6 LEGAL Z STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO. BLOCK TRACT �� �� INDUSTRIAL - WASTE APPROVAL SIZE OF LOT 17Q NOW ON LOTS CHARG a USE OF ,/1 �� p BUILDINGS N /t. CONNECTION CHARGE EE x0. DESCRIPTION OF WD C FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING 0 r PUBLIC SEWER $ 3.50 J RECEIPT NO. DATE IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.06 CONNECT ADDITIONAL BLDG.OR �/ DO EXCEPTIap RECORDED WORK TO HOUSE SEWER- 1.00 ALTER OR REPAIR EXISTING NO' I ;TE IBy SEWER OR DISPOSAL SYSTEM LOD _ DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAE PTS AND/OR DRA NFGELD T OR 2.00 STATION / Q Sr DEPTH 6 CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 /G7 C/ ANHOLE REFERENCE LOWER L TYPED CTION LENGTH FROM %A OWNERS PERMIT S I 00 - cuRB slim M.L.TO P.L. AUTHORIZATION I TOTAL FEE 'SO Gdi(/et/ "IAA 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED _ CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER r rr SIGNED THIS..-_._..__..DAY OF.... __..__.._.-___19_.- NEW HOUSE SEWER /'a F: 51- I ¢ y _ _ OWNER OR CON RECTADDITIONAL OWNERS AGEN7t ... _ 1 BUILDING OR WORK p �9�� _Q� - �- _iJ7, /^ SEPTIC TANK.SEEP.PIT(S) ADDRESS.... ..�:.5.1_T1G_'(�'.'.t' ....__._.._.`. 1... . _.._.G.L� AND/OR GRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ TI'R APP6, CESSPOOL 0 DRYWELL E] 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND DISCONNECT PLUG AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- .ER OF THE ABOf , cfS N A PROPERTY. SEPTICBACKFILL MG SIGNATURE AICO SEEP.PIT(S)OCESSPOOLS E] OFPERMITTEEQe_ 46A64LA 663 4/53 n� K.