Loading...
HomeMy Public PortalAbout10702 MILOANN ST_Sewer__ IDEPARTRYENT 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 LOCALITY BUILDING NEAREST ADDRESS I0702 kil0ann St. CROSS ST. LOCALITY El 11&0nt® DISTRICT NO. SERIAL NO. I PERMIT NO. NEAREST A S CROSS ST. li0nt8ve• RECEIVED BY Ready for Inspection DATE ISSUED OWNER P. L. McNutt MAIL ADDRESS 272* San Gabriel Blvd. USE ZONE OCCUPANCY MAP BK PG CITY San GabrielTEL.NO. AT 94364 CONTRACTOR , � G©nstruCtican CQ. CO.IMP.NO. ADDRESS 408 Winthrop Dr. JOB NO. - CITY Alhambra TEL.NO. AT 48315 TRUNK PERMIT NO. STATE REGISTRATION NO. ZZ3fSl:3.. (� ,fig � COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. :50 STATE ENCROACHMENT PERM!T NO. BLOCK TRACT 17867 INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT 3 CHARGES USE OF BUILDINGS I ReS, CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE ------- REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO l PUBLIC SEWER @ $ 3.50 RECEIPT N0. I DATE I BY FlDUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDtS.OR EXCEPTION RECORDED _ WORK TO NOUSE 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/ORDRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT ; I 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS tNSPECTOR'SSIGNATURE DATE SIGNED THIS....................DAY OF.................................__...I9_------ NEW HOUSE SEWER I ` OWNER OR CONNECT ADDITIONAL OWNERS AGENT..................._.............-........_-.................................. BUILDING OR WORK ADDRESS-..-.._---------....._. SEPTIC TANK,SEEP.PIT(S) -... .... - AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 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 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/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)(:I CESSPOOLS❑ OF PERMITTEE..............- ...... 76A642D 663 1/53