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HomeMy Public PortalAbout10727 LORA ST_Sewer__ ♦ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN rNEAREST Y BUILDING ADDRESS ©727 Lora St• T. LOCALITY El Monte CT NO. SERIAL NO. PERMIT NO. NEAREST A S CROSS ST. Tail ;conte ave• ED BY Ready for Inspection DATE ISSUED OWNER llt t MAIL ADDRESS STI- San Gabriel Blvd• USE ZONE OCCUPANCY BK MAP PG CITY San Cv,ybrielrEL.NO. n'r 94364 I CONTRACTOR Ia. C onstruction Co• CO.IMP.NO. ADDRESS 408 Winthrop Dr• JOB.NO. CITY 'A- }7ATfthra TELAO. T 48315 TRUNK PERMIT NO. STATE REGISTRATION NO. 113613AkC— 42 COUNTY ROAD PERMIT N0. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT 11 PERMIT NO. BLOCK TRACT 17867 INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT CHARGES USE OF BUILDINGS l Rose CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO a PUBLIC SEWER @ $ 3.50 I 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 N0. I DATE I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM L00 I CONNECTION DATA SEPTIC TANK SETEFkG E PIT OR PITS AND/OR DRAINFIELD 2.00 I STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 I MANHOLE REFERENCE i LY cR LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT ; I o0 Y. CUED 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 SIGNED THIS-------------------DAY OF..._......-......_............._....19.___. NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT................... .................................._......................... BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS---------------------------- --------. ......................................... AND/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL[] 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 1 AMR LICENSED AS REQUIRED BY LOS ANGELES COUNTY PROPERLY REGISTERED DISCONNECT PLUG AND AND/O ANp STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)E] CESSPOOLS E] OF PERMITTEE...,.:----r --- ...... -,..:._..-_....::........:. ------- 8417: 'i83 1/53