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.