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Home My Public Portal About5941 IVAR AVE_Sewer__ TEMPLE CITY 76A 6420 -CE808.-10-71 APP CpTI ON FOR PERM O ' COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER - -- BUILDING AND SAFETY DIVISION j,fADDRESSILDING 41. N. Ivar Ave. ALITY Temple City _ , ..r,. .. .:r..,� ,..c i.:..... .. ARESTFOR APPLICANT TO FILL lid SS ST. LEGAL / DESCRIPTION ' LOT NO. cAh 16 OWNER Milton Bade MAIL BLOCK TRACT 0 ADDRESS 20 Birchcroft NO. OF BLDGS. - SIZE OF LOT NOW ON LOT CITY TEL. NO. ' USE OF 'p ...e_�:.,. _ BUILDINGS AeS• DIS TRICT NO. GROUP MAP CESSED BY BK PG CONTRACTORSquare Deal Sewer Service ' O 8 Z . - ADDRESS 2933 Maxson Rd. CONNECTION DATA CITY El Monte TEL. NO. 444-2020 STATION 72— 7DEPTH STATE L" MANHOLE REFERENCE /C�� ('� UPPER LICENSE NO:: 1,288 0 GLASS 7_3 l( o,3s7 - R- NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTIO LENGTH FROM 3 HOUSE SEWER CONNECTING TO - Y. CURB P:L. M.L.TO P.L. PUBLIC SEWER @ $7.00 SEPTIC TANK.SEEPAGE PIT OR 0 P.C.NO. PITS AND/OR DRAINFIELD @ $10.00 CO.IMP.NO. 1 4 :3JOB NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. d PRIVATE DISPOSAL SYSTEM @ 83.00CONNECT ADDITIONAL BO 1. WORK TO HOUSE SEWERLDG.OR @ $3.00 00 AFFIDAVIT WAIVER -EASEMENT RECORD.INSTR.NO. DATE V OVERFLOW SEEPAGE PIT.DRAINFIELD O E XTN..CESSPOOL.DRYWELL.' @ $5.00 WIDENING OR ST. 7 ALTER.REPAIR OR ABANDON HOUSE HWY. SEWER OR DISPOSAL SYSTEM C $3.00 STATE ENCROACHMENT W MANHOLE @ $7 OO PERMIT NO. a- INDUSTRIAL N WASTE APPROVAL z OWNERS PERMIT s s 00 CHARGES AUTHORIZATION1 TOTAL FEE 6 OO CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS ALS DATE IN PECTOR'SS GNATURE SIGNED THIS DAY OF 19_ OWNER OR - NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR LICENSED AS REOUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT IAM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED RESIDENT AL PROPERTY. ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PER MfTTEE SEEP.PIT(S) ❑ CESSPOOLS ❑ VALIDATION CK, M.O. CASH I!� , Z. f-5 773 NOV 2'7 1 0 a 6.0 0 Q e ' _D7 76A 642D-CE808 -10-71 {y PPUC p, ON FOR RM OT COUNTY OF LOS ANGELES ��7 IfC SEWER-SE GE DISPOSAL ILS' DEPARTMENT OF COUNTY ENGINEER __...s BUILDING AND SAFETY DIVISION BUILDING S ;Ar_ Yr�f FOR APPLICANT TO FILL IN ST.LEGAL ewDESCRIPTION LOT NO NER MAIL BLOCK TRACT ADDRESS NO. O BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF DISTRICTNO. GROUP MAP PRO ESSED BY BUILDINGS BN pG /�Jy O / t _ 60NTRACTO � c(y. ��Q� - �C// (' ADDRESS n y .C�JONNECTION DATA CITY TEL. NO.� STATION �'/Z� DEPTH STATE LIC MANHOLE REFERENCEUPPER LICENSE NO:, CLASS l1ODj3 NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB L. M.L.TO P.L. (, PUBLIC SEWER @ $7.00 P.C.NO. SEPTIC TANK.SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $10.00 CO. IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $3.00 TRUNK PERMIT NO. ROAD PERMIT NO. d O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT WAIVER 'EASEMENT RECORD. INSTR.NO. DATE 0 WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD E XT N..CESSPOOL.DRYWEL L. @ $5.00 HWY, OR ST.WIDENING O ALTER.REPAIR OR ABANDON HOUSE B (— SEWER OR DISPOSAL SYSTEM @ $3.00 _ STATE ENCROACHMENT W MANHOLE@ $7.00 PERMIT NO. a- INDUSTRIAL N WASTE APPROVAL Z OWNERS PERMIT $ 3 00 CHARGES AUTHORIZATION I TOTAL FEE CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. -REIMBURSEMENT FEE TRACTOR TO ON EC THE ABOVE DESCRIBCD EXISTING DWELLING TO THE PUBLIC SE ® APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19 OWNER OR /'�r� //��c NEW HOUSE SEWER OWNERS AGENT Q C�� CONNECT ADDITIONAL BUILDING OR WORK ADDRESS 'OV SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE AB E DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER 13 SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE SEEP.PITS) ❑ CESSPOOLS ❑ VALIDATION CK. M,.0. CASH : ,��. 3 5 1 4 3 OCT 1 � 1 0 D 6 f l0 A R 5 E.6 D S (/_U P P l��C A T�®11 W FOR U P Ido 11 9 Il•F1-11�T .. �. &E-663 11-55 � • DIVISION. OF BUILDING AND SAFETY SEWER—SEWAGE Department of County Engineer '• County of Los AngelesBUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ®' CASSATT D. GRIFFIN, Sul=•T of BUILDING LOCALITY FOR APPLICANT. TO FILL IN CROSS s. LEGAL. , OWNER 'DESCRIPTION -LOT N0.//4 ��- 'gip r '/ BLOCKMAIL "TRACT ` ADDRESS N6. OF BLOCS. CITY TEL. NO. SIZE OF^LOT ' � NOW ON LOT � ' BU�LDINGS /��,s- _ � �� DISTRICT NO. ,v GROUP MAP PG CONTRACTOR ADDRESSe /, C ; �, CONNECTION DATA_ LL ` CIT STATION,. _ DEPTH •� �� .'C TEL. N0. .r/ �j MANHOLE REFERENCE - UPPER ` � STATE LOWER REGISTRATION NO. �p ❑ COUNTY . No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNE TION .LENGTH FROM Y. CURB P.L. M•,L.TO P.L. PUBLIC SEWER @ $3.50 SEPTIC TANK,SEEPAGE PIT OR - PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD P. C. NO. - EXTN„CESSPOOL,DRYWELL,M AN H O LE @ $2.00 CO. IMP, NO. JOB NO. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.00 TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT ' WORK TO HOUSE SEWER @ $1.00 J D2a PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL - SEWER OR DISPOSAL SYSTEM @ $1.00 WASTE APPROVAL - CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT $ 1 00 AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE ” ' APPROVALS, DATE INSPECTOR'S SIGNATURE I HAVE.AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- .. TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE. PUBLIC SEWER. NEW HOUSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR - BUILDING OR WORK OWNERS AGENT SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD ` IHEREBY ACKNOWLEDGE-THAT I HAVE READ,THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND.,STATE .THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING d ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED Y_\LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER ' CALIFORNIA OR THAT Ary¢¢¢1 •THE LEGAL OWNER OF THE ABOVE ' DESCRIBED RESIDENTI PROPERTY. - BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP. PIT(S) ❑ CESSPOOLS C3OF PERMITTEE 1� - • - JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIO OBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. Id.O. CASH'---' — .. - •. 4 FEB 2 s : 4 2.00 78& 6 E-6 S&E-6 _.63 11-55 APPLI `CA 0 �OlIV FOR PER�0.T . ' � .- DIVISION- OF BUILDING AND SAFETY SEWER-SEWAGE DOSPOSAL . Deportment of County Engineer County of Los' Angeles 's BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ® CASSATT D. GRIFFIN. SUPT of BUILDING P LOCALITY aw R, FOR APPLICANT TO FILL IN CROSS ST. LEGAL j/� / DESCRIPTION LOT N0 �/C`i �� OWNERvo BLOCK 'TRACT /!®� MAIL 1 ADDRESS SIZE OF LOT��K /1C� NOW ONBLOTS -�� ' CITY TEL. N0. USE OF - - ,- F BUILDINGS �� L'�%�G-'"�� DISTR,IC�TT NO.. GROUP .. BK MAP CONTRACTOR g t;y „�. fCA •.«, el r ADDRESS CONNECTION DATA e .�CITY EL. N0. .STATION „ ,I � DEPTH .MANHOLE REFERENCE - �� UPPER / R TATE LOWER GI RESTRATION O. /!A 3 fJ V�❑ COUNTY NO. DESCRIPTION OF WORK FEE (T HOUSE SEWER CONNECTING TO TYPE OF N TION LENGTH FROM Y. CURB P.L. M.L.TO P.L. ' PUBLIC SEWER @ $3.50 � ,- SEPTIC TANK.SEEPAGE PIT OR - PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C. NO.,, EXTN.,CESSPOOL,DRYWELL,MAN HOLE @ $2.00 CO. IMP. NO. .� JOB NO. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.00 TRUNK PERMIT NO. .ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR STATE'ENCROACHMENT i WORK TO HOUSE SEWER @ -$1.00 PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE a INDUSTRIAL - SEWER OR DISPOSAL SYSTEM @ $1.00. WASTE APPROVAL CHARGES CONNECTION CHARGE FEE _ -OWNER'SPERMIT $ 1 00 _ AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH,THE HEREIN NAMED CON- ¢ APPROVALS DATE INSPECTO,RSSIGNATURE - TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING .DWELLING TO THE.PUBLIC SEWER. -LL � ' - NEW HOUSE SEWER' SIGNED THIS G DAY OFCONNECT ADDITIONAL OWNER OR !�D_ 1 ) ._ % �/ �^� BUILDING OR WORK ) OWNERS AGENT /`V)' I ^�� 1 I SEPTIC TANK,SEEP,PIT(S) ADDRESS -`��9 �Y I— 21 .9-1 I�.A /1 � AND/OR DRAINFIELD '- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ - AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY . m WITH ALL COUNTY ORDINANCES AND' STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. !' SEWAGE DISPOSAL SYSTEM :r IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AN LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF D ABANDON HOUSE SEW D CALIFORNIA, OR THAT I AM THE. LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTI PROP T.Y. BACKFILL� y 5�CESSPOOLS SIGNATURE OF PERMITTEE - JOHN A. LAMBIE, COUNTY ENGINEER V LIDATION ROBERT A. WOOD,CHIEF PLBG. INSPECTOR CK. M.0. CASH .. .9.1 GES 2 Q A - R ' 450