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DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DOSPOSAL
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES G^ `
WILLIAM J. FOX, COUNTY ENGBUILDINGINEER �I ADDRESS
FAVIS
OR APPLICANT TO FILL INBUILDI LocAurr
' 1 i CR SS ST.s ,� ;• DISTRICT N0. S RIAL N0. ` PERMIT N0. C
NEAREST v �� A
CROSS ST.
ECEIVED BY Ready for Inspection DATEtI`SSUED
OWNER fG ken
MAIL USE ZO 1� OCCUPANCY MAP
ADDRESS
— I I BK PG
CITY TEL.gO. `—
CONTRACTOFV_ C. Nottingham rn_ of Temple Cid
CO.IMP.N0.
ADDRESS 5933 N. CLLO•�VyE�RLLYYLAVE. JOB.NO.
CITY � P�TEL'W4?'"�"�9
TRUNK PERMIT N0.
STATE
REGISTRATION NO. Ej COUNTY I ROAD PERMIT NO.
LEGAL STATE ENCROACHMENT
DESCRIPTION LOT N0. PERMIT NO.
BLOCK TRACT INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT NO.OF BLDGS. CHARGES
NOW ON LOT
USE
BUILDINGS 9 CONNECTION CHARGE FEE
NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE
HOUSE SEWER CONNECTING TO
PUBLICSEWER @ $ 3.50 RECEIPT NO. DATE I BY
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED
WORK TO HOUSE SEWER 1.00
ALTER OR REPAIR EXISTING NO I DATE I BY
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 DRAINFIELD A / 2.60 STATION- DEPTH
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 00 MANHOLE REFERENCE
UPPER LOWER
TYPE OF CONNECTION LENGTH FROM
Y. CURB P.L. M.L,TO P.L.
OWNERS PERMIT $ I 1 00
AUTHORIZATION I TOTAL FEE I 3 V HAVE
Da
CONTRACTOR TO CONNECT THDATE E AED BOVE D SCRIBEDWITH THE I EXISTING I ED
APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLIC SEWER
SIGNED THIS....____._.......DAY OF.____________ .___ _19_____ NEW HOUSE SEWER
OWNER OR j CONNECT ADDITIONAL
OWNERS AGENT.................... BUILDING OR WORK
SEPTIC TANK,SEEP.PIT(S)
ADDRESS--------------_ -______....__________.._..•--•--•--._._....-_._._....... , ° AND/OR DRAINFI D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL DRYWELL
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 DISCONNECT PLUG AND
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY —ABANDON HOUSE SEWER
AND
AND STATE OF CALIFORNIA OR THAT I AMT LEGAL OWN-'
ER OF THE AB(JE59'�� 7 LMQPERTY. BACKFILL SEPTIC TANKSEl
SIGNATURE
_" o fir. 1 I 7lA4pw SEEP.PIT(S)Ej CESSPOOLS El
OF PERMITTEE..
7GA642A 663 7/53
CEa08-8-58
APDL OCATMfel FOR PERM T .
- COUNTY OF LOS ANGELES SEWER—SEWAGE ®0SP®SAL
DEPARTMENT OF COUNTY ENGINEER >..:• ,,,
BUILDING AND SAFETY DIVISION BUILDINGE
AD
ADDRESS
JOHN JL LAMBIE, County Engineer /j A
CASSATT D. GRIFFIN; Sup't of Building °_' LOCALITY c
FOR APPLICANT TO FILL LEGAL " C OSS ST.
DESCRIPTION LOT NO. /,} j t'+ OWN ERj
BLOCK TRA ..A V MAIL
ADDRESS
NO.OF BLDGS. •� 'n
SIZE OF LOT NOW ON LOT CITY TEL.N0.
USEOF o
BUILDINGS r DISTRICT NO.R GROUP MAP PROCESSED BY
CONTRACTOR J !�(71�p y BK
PI
ADDRESS ��. S CONNECTION DATA -
u4 _
CITY 'j TEL.N0. �� I DEPTH
�/ STATE
REGISTRATION N0.J �� `7 �— OLE REftRENCE 6j / , I U0 ER ;
No. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO 31 �� ,
PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM 2T
SEPTIC TANK, SEEPAGE PIT OR
Y. CURB P L. M.L.TO P.L.
PITS AND/OR DRAINFIELD @ $3,00 47
OVERFLOW SEEPAGE PIT, DRAINFIELD -
EXTN..CESSPOOL,DRYWELL,MANHOLE @ $2.00
HOUSE SEWER CONNECTING TO P.C. NO.
PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. ZiJOB NO.
CONNECT ADDITIONAL BLDG:OR TRUNK PERMIT N0. ROAD PERMIT N0. pp
WORK TO HOUSE SEWER @"$1.00 ��tl�
SEWER OR DISPOSAL SYSTEM HOUSE @ $1 00 STATE ENCROACHMENT -
PERMIT NO.
i
INDUSTRIAL
- - 'WASTE APPROVAL
CHARGES
OWNER'S PERMIT $ 2 00 CONNECTION CHARGE FEE
AUTHORIZATION FTOTAL FEE O REIMBURSEMENT FEE P�f4 7-
1. HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INSPECTOR'S SIGNATURE
s TRACTOR TO-CONNECT THEA OVE DESCRIBED EXISTING DWELLING f
TO THE PUBLIC SEWER.
s SIGNED THIS ig_ NEW HOUSE SEWER
-' OWNER OR CONNECT ADDITIONAL
, OWNERS_AGENT 'BUILDING OR WORK _
t SEPTIC TANK,SEEP,PIT(S)
IJ ADDRESS
' - ''} AND/ORDRAINFIELD
I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY ;' CESSPOOL❑ DRYWELL❑
m; WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' ALTER,REPAIR,SEWER OR
PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT I P P RLY REGIST D AN R t DISCONNECT PLUG AND
LICE
NSED AS REQUIRED BY OS E S, NTY D OF !;_ ABANDON HOUSE SEWER
CALIFORNIA T I A T E L NER T E ABO
DESCRIBED ESIDEN AL P OPE BACKFILL SEPTIC TANKS❑ "
>>� SIGNATOR
SEEP.PIT(S) ❑ CESSPOOLS[I
®P ALIDATI®N ROBERT .WOOD
gg; H.@« CASA SUPERVISING MECHANICAL ENGINEER
7 1:5.'6'� i OV A 5.0D 0 r
" r
yew �,�- I�
�EBoBe »e APPUC A ION FOR f�C�RMT
COUNTY OF LOS ANGELES r 'SEWER—SFwAGE DISPOSAL '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUIL
DING ^
ADDRESS y V / '
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN. Sup't of Buildfag LOCALITY
NEAREST`
FOR APPLICANT. TO FILL IN CROSS sT. i�tl�'r'� .IsJ
LEGAL
'DESCRIPTION LOT N0. q� OWNER"
BLOCK TRACT L ��{/ �+ MAIL
ADDRESS
N0.OF B OT _. � - -
SIZE OF LOT' NOW ON LOT CITY. TEL.N0.
USE OF _ :--- - r_.?.,i }. :u. _ r ..
BUILDINGS 4 DISTRICT NO.fl GROUP MAP PROCESSED BY
'•v
PG
CONTRACTOR , 44¢
dam "" jo
ADDRESS0 7 CONNECTION DATA
4
CITY g TEL.N0. L� PTH
a STATE OLE RE RENCEr J UnEp
REGISTRATION N0. 7C / �7Y 'n'
NO. DESCRIPTION OF WORK FEE
'HOUSE SEWER CONNECTING TO
PUBLIC SEWER Q $3,00
a 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 SEEPAGEPIT,DRAINFIELD -
EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00
HOUSE SEWER 'CONNECTING TO P.'C.NO,
PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. JOB NO.
CONNECT ADDITIONAL BLDG.OR q .TRUNK PERMIT NO. ROAD PERMIT'NO.
WORK TO HOUSE SEWER @ $f.00
ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT
SEWER OR DISPOSAL SYSTEM' @ $1.00 PERMIT NO.'
INDUSTRIAL,. -,
a WASTE APPROVAL_
CHARGES -
° - O�TNER•S PERMIT $ 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-A VE DESCRIBED EXISTING DWELLING
TO THE PUBLIC SEWER.
y SIGNED THIS A J9_ NEW HOUSE SEWER_ '
OWNER OR CONNECT ADDITIONAL
OWNERS AGENT. b BUILDING OR WORK" "
SEPTIC TANK•SEEP,'PIT'(S)
j, ADDRESS AND/OR DRAINFIELD -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY i. CESSPOOL❑ DRYWELL❑
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING € pLTER,REPAIR,SEWER OR
PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT I AM PRO RLY REGISTE N DISCONNECT PLUG AND
:i LICENSED AS REQUIRED BY N S c TY. D 0 ABANDON HOUSE SEWER
CALIFORNIA T I A TH G L ER E ABO
DESCRIBED ESIDEN L P OPE Y BACKFILL SEPTIC TANKS❑.
v"
SEEP.,. IT(S) ElCESSPOOLS'❑
SIGNATURE
'i OF PERMIT
®P` MMATION ROBERT A.•WOOD-
6K. m,g, cull SUPERVISING MECMANICAL.ENGINEER