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Home My Public Portal About9542 LIVE OAK AVE_Sewer__ A D CE808 a-sa APPLICATION FOR PERMIT 1 eaoe COUNTY OF LOS ANGELES i; . SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING h JOHN A. LAMBIE, County En ADDRESS Engineer �.. C SATT D. GRIFFIN, Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL r y OWNER /4'"Z. e DESCRIPTION LOT N0. BLOCK TRACT S / K f &Wgaj4e S ADDMAIL RESS L / NO.OF BLDGS. // SIZE OF LOT NOW ON LOT CITY /G et TEL. N0. USE OF BUILDINGS DISTRICT NO. GROUP MAP �OCESSED BK' PG CONTRACTOR a V yr 14 L /Z-7 c ADDRESS 1 I- / Lo v CONNECTION DATA CITY 421P TEL.N0. S'7 7 b d STATION DEPTH v STATE REGISTRATION NO. B COUNTY MANHOLE REFERENCE UPPER LOWER NO. 1 DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO 3 Z. PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3 00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN CESSPOOL DRYWELL @ $2 00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1 00 CO.1 N0. JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1 00ALTO SEWER OR DISPOSAL SYSTEM R ABANDON HOUSE @ $I 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE D d REIMBURSEMENT,FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19- NEW HOUSE SEWER OWNER OR 'G/�")_ CONNECT ADDITIONAL OWNERS AGENT C> =-_- �� BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD LCDESCRIBED EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELLLL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR G AND SEWERS. SEWAGE DISPOSAL SYSTEM EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND D ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER NIA OR THAT AM E LE��ii�ff.. OWNER OF THE ABOVE ED RESIDENT PROP T BACKFILL SEPTIC TANKSRE SEEP.PITS) ❑ CESSPOOLS ❑ MITTEF OF VIALMATION ROBERT A. WOOD CK. Ii.o, CASH SUPERVISING MECHANICAL ENGINEER LAC07 2 3 7 So 0 A 3.0 0 " 76A642D APPLICATION FOR PERMIT. `fieD9.e.98c` COUNTY OF LOS ANGELES - SEWER—SEWAGE, DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION ADDRESS JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN. Supt of Building LOCALITY �iJe LD' NEAREST e FOR APPLICANT TO FILL IN ceoss sr. ry LEGAL DESCRIPTION LOT NO. Z� OWNER BLOCK TRACT 77— MAIL - J / L(�4� DRESS / V p� N0.OF BLDGS. SIZE OF LOT ' 6 NOW ON LOT CITY ��aV✓Y��+� TEL-NO. USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY BK PG CONTRACTOR ADDRESS �y ',CONNECTION DATA CITY TE e N0. {� � - DEPTH STATE HOLE REFERENC r ER REGISTRATION NO. COUNTY p OWE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK,SEEPAGE PIT OR TYPE OF'CONNECTION LENGTH FROM .17 PITS AND/OR DRAINFIELD @ $3.00 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO P.C.N0.• PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. 0. JOB NO. WORK XONNECT H ADDITIONALUSE LDG.OR @ $1 OO TRUNK PERMIT NO. ROAD PERMIT-NO. T¢ £ ALTER, REPAIR OR ABANDON HOUSE STATE ENCROACHM SEWER OR DISPOSAL SYSTEM 0 $1.00 PERMIT NO.INDUSTRIAL �r��(/ WASTE APPROVAL n CHARGES OWNEWS PERM 2 00 CONNECTION_CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19_ NEW HOUSE SEWER- OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK • SEPTIC TANK,SEEP,PITS) ADDRESS ,AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 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 BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS❑ SEEP. T(S) ❑ CE SPOOLS❑ SIGNATURE OF PERMITTE mlikibikid 6e I/ W-1--1 ®F AMA ON ROBERT A.WOOD ' CASH 'SUPERVISING MECHANICAL ENGINEER 3J2 1 8' SEP 2.8 '1. 0 A 5.0 0 pppp- 76A842D APPLICATION- FOR PER-MIT - ceeoa•a-ae COUNTY OF LOS ANGELES SEWED—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBI£, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITYNEAREST FOR APPLICANT TO FII.I. IN CROSS ST. 'LEGAL, -7« OWNER- DESCRIPTION LOT N0. " BLOCK TRACT MDDRES NO.OF BLDGS. ,,,, j SIZE OF LOT a NOW ON LOT CITY //1 'N►-�A TEL.NO 7r USE OF BUILDINGS �s DIS=NO. MAP PROCESSED BY CONTRACTOR BK P6 � ADDRESS yds CONNECTION DATA CITY //T--EL.NO. e.,;F STATION DEPTH j REGISTRATION NO. (o COUNTY MANHOLE REFERENCE;u U R No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE-PIT OR TYPE OF CONNECTION LENGTH FROM PITS AND/OR DRAINFIELD @ $3.00 Y. - CURB P.L. ' M.L.TO P.L, OVERFLOW SEEPAGE PIT, DRAINFIELD- EXTN ,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO 4 P.C.NO. PRIVATE DISPOSAL SYSTEM Q $1.00• CO.IMP. NO. JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1.00 SE REPAIR DISPOSAL SYSTEM HOUSE $1 OO STATE ENCROACHMENT PERMIT N0. INDUSTRIAL ,c"► WASTE APPROVAL � CJG CHARG OWNER'S PST $ CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19_ NEW HOUSE.SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIC TANK,SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRY*ELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 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 BY LOS ANGELES COUNTY.AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP.PIT(S) ❑ CESSPOOLS OF PERMITTE OF ALIDATION ROBERT A.WOOD OX, M.D, CASH SUPERVISING MECHANICAL ENGINEER LACo3 2 1 9'; SEP 28 1 1'-A 25.0,0 ,�