HomeMy Public PortalAbout10708 MILOANN 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 LOCALITY
BUILDING
ADDRESS 10708 i n n NEAREST
il.t, CROSS ST,
LOCALITY El Monte DISTRICT NO. SERIAL NO. PERMIT NO.
NEAREST S
-CROSS ST. El Monte Ave• A
RECEIVED BY Ready for Inspection DATE ISSUED
OWNER P. L. McNutt
MAIL
ADDRESS 2742 San Gabriel Blvd, USEZONE1 OCCUPANCY MAP I BK PG
CITY San abri®1TEL.NO, AT gtggA _ I!
CONTRACTOR La Do & M. GonstruGti On aa, CO.IMP.NO.
ADDRESS 408 Winthrop Dr. JOB NO.
CITYjlb,&M'hraTEL.NO. AT tgZ11S
TRUNK PERMIT N0.
STATE
REGISTRATION NO. 113615 C 42 1H COUNTY
ROAD PERMIT N0.
LEGAL
DESCRIPTION LOT N0. .9 STATE ENCROACHMENT
PERMIT N0.
BLOCK TRACT 17867 INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT NO.OF BLDGS.
NOW ON LOT `.� CHARGES
USE OF
BUILDINGS 1 Riad CONNECTION CHARGE FEE
NO. DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE
l PUBLIC SEWER $ 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- DATE J 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 DRAiNF1ELD 2.00 STATION DEPTH `
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
UPPER LOWER
TYPE OF CONNECTION LENGTH FROM
OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L.
AUTHORIZATION I TOTAL FEE
1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING
DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE
SIGNED THIS...................DAY OF....•--.................... .....__._19........ NEW HOUSE SEWER
OWNER OR CONNECT ADDITIONAL
OWNERS AGENT...................-................................................. BUILDING OR WORK
ADDRESS...........-.._.....-_ .. ..:.....................-...._.......... SEPTIC TANK,SEEP.PIT(S)
-- - AND/ORDRAINFIELD
I 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED --
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND
AND 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)[] CESSPOOLS E]
OF PERM I TTE E...-.._..--------.111---------------- •
76A642D 663 1/53