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HomeMy Public PortalAbout10720 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 IIIIIIIIIIIIIIIIJI FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST s ADDRESS 3-079(l m"083313 ,t. CROSS ST. LOCALITY El Monte DISTRICT NO. SERIAL NO. PERMIT NO. C NEAREST A S CROSS ST. 131 Monte #1116• RECEIVED BY Ready for inspection DATE ISSUED OWNER P• L• l ONUtt MAIL ADDRESS 27 Salt Gabriel Blvd. USE ZONE OCCUPANCY MAP CITY San Gabriel TEL.NO. &T 94364 � I BK PG CONTRACTOR L. D. do Iii• Construction Co. CO.IMP.NO. ADDRESS 408 Winthrop Dr. JOB.NO. rn CITY Alhambra TEL.NO. AT 48315 TRUNK PERMIT NO. STATE REGISTRATION NO. 113613` 0-42 COUNTY ROAD PERMIT N0. LEGAL DESCRIPTION LgTNO. P-7 STATE ENCROACHMENT PERMIT NO. BLOCK TRACT 17667 INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLOCS. NOW ON LOT 2 CHARGES USE OF 1 R@$• BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO 1 PUBLIC SEWER @ 1113.50 RECEIPT N0. ( DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 ` CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER__ 1.00 N� ALTER OR REPAIR EXISTINGII DATE +BY SEWER OR DISPOSAL SYSTEM t.00 f DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 C CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR _ PITS AND/OR DRAINFIELD 2.00 I STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 ` 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 — 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'SSIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS....................DAY OF.........-..................__._..... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT........................................ •---.........•...................•.... BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS........ - -- ......... 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 1 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. BAGKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)C] CESSPOOLS❑ OFPERMITTEE_.-------------- ---------•�----•--e.:.::.....................-----------::.. NA64271 663 1/53