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Home My Public Portal About9463 LONGDEN AVE_Sewer__ / l W APPLICATION FOR PERMIT 5AE�2D COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION - BUILDING JOIN A. LAMBIE, County Engineer ACDRESs WILLIAM A. JENSEN, Supt of Building _ y NA L EAREST LOCALITY ai d — -- - hEAREST ----- -- FFSS,-51e4K� OR APPLICANT TO FILL IN CRDse ST AL _- or ION OT NO r OWNER MAiI�y-� yn y' ,y y�,�aADDRE iS ., TRS._'i ,6�(''e.✓,3' iNOOF8LDG5.LOT NOW ON LOT CITY TEL. NO. S— Di57HlCT NO. GROUP ASAP PFrqCES&EDBY B{.:TORAa_:may % '` GONNECTIONDI3TAy Et,. NOj � ,. :TIJN =� - DEP761-- — ____ - TATE; .,y 1 sy`� MANHOLE REFERENCE ry '' Y--- REGI 7RA'710N NO. .st x'Y"" [� C'OUN7Y LOWER NO. DESCRIPTION OF WORK FEE _ TYPE OF CONNECTION LENGTH FROM _.._ .� It+OU ESEW£R.CONNEL'tNCv.,U _yp Y. CUPS PL M.L.70 P.L. ) PUBLICSEWER $ .00 - _ _ .--_ r __ " P.C.NO. ' SEPTIC TANK,SEEPAGE PIT OR _ -J a JOH NO. PITS AND•'OR DR.AI Ni-I€LD �' $10,00 '.; C.O. IMP NO_ F T- U }.OUSE.S£WL CONNE T'tNG 7n TRUNK PERMIT NO. ROAD PERMIT NO. PR VA.T€LI9 POSAL SYSTEM .$3 00 I _—. __ _.- ,.�—_ —__p NNECT ADDf !ONAL BLDG OR AFFIDA'ViT wnrvr:x EASrxerdi� RECORD. INSTH NO. DATE: �6 WORK TO HOUSE SEWER @ $3.00 1 04E kF1_.UW SEEPAGE FIT DRA!N FIELD E-ATN E 5 .L.DRYWEL.L.MANH'OLE @ .$5.00 I —_— _ __ _ .._ _._ ._—____� ___ HWY. OR ST.WIDENING - ALTEf2 R[-PACK OR ABANDON HfiUSE i - LbVER OP, DISPOSAL SYSTEM @ $3.00 _____— STATE ENCROACHMENT PERMIT NO. ,._.._____ INDUSTRIAL I OWNER'S PERMIT S Iwas7e APPROVAL - -- _ -- --- --- yq.y��g 7�� —_---------_.- -- _. 2' AUTHORIZATION TOTAL FEE C;ONNE"G7iON CHARGE FEE I HAVE AT THIS DATE A CONTRACT W. TH T'HE HEREIN NAMED CION- RE!M8URSEMENT FEE TRACTOR TO.CC)INECT THE ABOVE DESCRIBED EXISI'1':NG DWELLING ------- _._. --_. .___ --- — ----.._-_. ___ - __- _—_.___ TO THE PUBLIC SEWER. APPROVALS DATE I N._PECTOW5 SIGNATURE SIGNED 71•-IIS----`--DAY 4 F----------._. f 5---- -_ OWNER OR NEW HOUSE SEWER OWNERS A.CG E.NTCONNECT ADDITIONAL I .I _ BUILDING OR WORK I ADDRESS..-.. - _—__—_____ SEPTIC TANK,SEEP,PIT(S) 1 HEREBY ACKNOWLEDGE THAI I HAVE READ THIS .APPLICATION AND/ORDRAINFtELD ! 1 AND STATE.THAT THE ABOVE i.5 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE. LAWS REGULATING E' . � I PLUM13ING AND SKWRr. c CESSPOOL ORYWELL 1 HEREBY CERTIFY THAY i AM PROPERTY REGISTERED AND,OR ALTER,REPA- SEWER OR I-�— I LICENSED AS REQU)RED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DI POSAL .STEM CALIF OPNIA ^UR THAT M THE L€G ov"496 OF AND INTEND TO DISCONNECT P - - AYD RESIDt iN, THE A£' ESCRi BED PSID AL PROPERTY, 'N ABANDON HOUSE EWER SIGNATURE OF. PERMITTEE _ �-. "_+5�� BACKFILL SEPTIC TANKS SEE-P.PIT(S) L CESSPOOLS: [7+ `VALIDATION ROBERT A. WOOD )f CK f` M.O. CASH SUPERVISING MECHANICAL ENGINEER � t esA C•mZ.3iJ APPLICATION FOR PERMIT.52 , Al COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION rlUiLDiNG Y � ADDRESS JOHN A. LF4MBIE, County Engineer — WILLIAM A. JENSEN, Eupl of Building LOCAL' Y�±' s`iy}^9,.�-`✓ 4,,.,_,___��t�'a _._ _ FOR APPLICANT TO FILL IN ST, LL — L - DE:SC. IPT'.ON OT NCi s"!'" '- ^' � ,P 7W Nr_:R MAIL BLCCr TRACT S - a v � a u� AD RE'S J INC?. F BL G'�. 5IZE OF LOT NOW ON L.�3Y CITY TEL. NO. 'F_. CF BUIL,A)NG _. - �,-�.'gr ,P - - I}E ':`F'ctcT No. c3k.):.`�. MAP F>RO E•SSE..0 BY. CONTRACTOR AUDRESS _ g� - CONNECTION DATA �� ,✓, >> DEPTH 1' I7 ..L4,yEL } D"STATE R 14ti MAO6E REFERENCE Rc;f ig rf?AT O^;. NO, a" ...>��-�-" �.! COUNTY a:r WFR r NO. DE.aCRIpTIC)8�t CSF WO€�i}r FEETYPE OF CO pN�?g CTI.ON EN i k.}R7 - HOUSE SEW ES2 CON?.IcC7ING TO f- 'C'Uy�-J M.L TO I'L. PUBLIL FEWER Q5 00 P.C.Na SEWfI ':'A tK.SEEPAGE FIT Oh PIT-r.A NDi OR uRA1 NFEcLD $FD,t7D INIP NQ)':,,, r JOS NO. iCJi1S,_�a`I 6V F22 rOhl�4f 1 NG 40 TRUNK PERFYI;7wO ' RJA15'��r-t 6/i3 'R14. li PR VAfE G SPL.o4_SYSTEM @ 3.CC.' —_ C.ON Ill RC' A DD 1 T 16;14 AL SLCG ,R - 4F "1.A 4'iT wditi cr; eSSCMEMt I RECORD. INS1R I'30 DATE N11171 TO � 3.C< �UIS . Vr RFLON SEEPAGE Y'iT,CRA1NtIELC% LXTN .E;5SP0,0L.DRYWF'�L.fi%ANAiOLE $5.00 j —_ ALTER,REPAIR OR ABA14DON FOUS�: wW''': O'ST.WIDENING s •2R OR[ POSF4.SYSTE' 3.640 Ikf'E:ENCROACH E:PFT _ — y f PF' -IT NO INDUSTRIAL WASTE APPROVAL OWNED PERMIT O4N"_: T ION C}-.ARGE FEE AUTHORIZATION E ' R EIMBUR LMEN'T FE:E 'i HAVE :AT 'T're'.-_ DATE: :;ONIRA < WiTI+ THE 'HEREIN NAMED CON. , .._T rHE ABOVE DESCRIBED FX!STING LWF..LL.IN.G TRACTOR TC3 CO'VN e-- � r „ 1 �N'p. p TO THE PUBLIC SEWER. —_ _ '^"^ APPROVALS DATE .�'l4 SP EGTU..S SIGNATURE: i SIGNED THIS_ DAY CSN=.-------- ------- OWNER Ok :NFAY HOUSE.SEWER OWN-5RS AGENT C NNE.C7 ADDITIONAL. I b'IJIl.D]NG QR WORK � i —`— - — -- --- T..-_ SEPTIC TANK BE PIT(.a) � I H RLB ACKNOWLEDGE THAT l HAVE READ TH3S APPLICATION AND;'-OR DRAINFIELD I, 1 All S[AT. 'SHA," _fHE ABOVE_ ITS CORRECT AND AGREE TO COMPLY W IT-i ALL, C.OU - ORDINANCE:S AND STATE LAWS REGULATING r �MSIN,, AND EV;E `, CIECS..O<".L t-_1 DR'/tiJELL HERESY C RTI F!' IHATA ?':ROt�FRLY REGiST ER ED APc,D/OEN ALTeft,RcFA1H.SEWLR 47e8 C'ENSEO LCE. REQU.t RED BY LOS ANGLES E.Ol7NTY AND STATE OF SEWAGE WSPOSAL SYSTEM CALIFORNIA OR THAT I��TSCRSSED M THE' LEGA4CWZj ER OF, AND INTEND TO RESIDE IN THE AIT�EN I,d,i FRJP€P.T\', DIS.OA�FNL T P1_dfi A'SABANDON F+OtJ SE SEW REBID'`I Ntl?TTHE BAc.y.F:L Sf,t-FICOr TRPdKS i�]= -_—.. SEE=P..PIT(S) IJ CESSPOOLS [SII VALIDATION ROBER r A. WOOD SUPERVISING MEC}-IANIC_AL ENGINEER f DEPARTDiENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES y WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT:,TO FILL IN LOCALITY BUILDING l'y; 7 NEAREST ADDRESS +! J6 �j yjL. CROSS ST. LOCALITY Y ti DISTRICT NO. SERIAL NO. PERMIT NO. SNEAREST s CROSS ST RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL Y MAP USE ZONE OCCUPANCY ADDRESS r r% ,P' g� BK PG CITY 's TEL.N0. CONTRACTOR CO.IMP.N0. ADDRESS JOB.NO. CITY TEt.NO. TRUNK PERMIT NO. r; STATE REGISTRATION NO. [ COUNTY ROAD PERMIT NO. LEGAL STATE ENCROACHMENT DESCRIPTION LOT NO. PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. I DESCRIPTION OF WORK FEE_ REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER 0 $ 3.50 RECEIPT NO. f DATE BY HOUSE SEWER CONNECTING TO __PRIVATE DISPOSAL SYSTEM I.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 N0. ALTER QR REPAIR EXISTING DATE I BY SEWER OR DISPOSAL SYSTEM IAO DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE Pif OR _ PITS AND/OR DRAINFIELD 2.00 ` STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE 1UPPER LOWER TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L. OWNERS PERMIT � �-1�00- AUTHORIZATION I TOTAL FEE I I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED COK,TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER "NED THIS: I _.DAY OF.., 1 ' ...... 19_-_e. NEW HOUSE SEWER 1 SIt> , OW:iEROR /� p CONNECT ADDITIONAL OW94ERS AGENT" ..... � ,,� � BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADIIRESS .,__.._? _. '.._�._ ._._. TM�7 :._ ....r:.. _ AND/OR DRAINFIELD _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL I] DRYWELL r;A31ON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO :OMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND ANG/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PiT(S)❑ CESSPOOLS OF PERMITTEE-.-.,.,. ---._,_ .._:. _..___.. .e....... 76A642D 663 1/53