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HomeMy Public PortalAbout5606 NOEL DR_Sewer__ DEPAKTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J FOXv COUNTY ENGINEER I ADD EISS,4' Q d /y L i FOR APPLICANT TO FILL IK LOCALITY �/j � C, BUILDNEARES ADDRESS J O b Vf///�/ CROSS ST {� LOCALITY . DISTRICT NO SERIAL NO PERMIT NO NEAREST A 343 7�'V_ CROSS 8T 4 RECEIVED BY Ready for Inspection DATE ISSUED OWNERMAIL ADDRESS .S—OC O ���p�/L - &SEZONE OCCUPANCY BK MAP PG -� TEL NO CITY � LL CONTRACTOR ADDRESS JOB NO CITY TEL NO Sf TRUNK PERMIT NO i SiMI*E REGISTRATION NO a COUNTY ROAD PERMIT NO LEGAL e) STATE ENCROACHMENT DESCRIPTION LOT NO /t, PERMIT NO BLOCK TRACT �� ��NO OFLOWASTE APPROVAL SIZE OFLOT��x� 20 NOWONLOTS CHARGES USE OF �` L BUILDINGS �L. CONN ON CHARGE FEE NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT PUBLICSEWER ! s 350 RECEIPT NO TE IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 100 CONNECT ADDITIONAL BLDG OR XCEPTION RECOR WORK TO HOUSE SEWER 100 NO ALTER OR REPAIR EXISTING DATE B SEWER OR DISPOSAL SYSTEM loo DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 100 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR CPITS AND/011 88 OOL—DRYWELLELD 200 STATION LJ/�G`S� DEPTH SPECIAL CONDITIONS ONLY 2000 NH�OLE�REFERENCE l0 ER TYPE OF CONNECTION GTN FROM Y CURB PL ML TOPL OWNERS PERMIT ; I 00 AUTHORIZATION I TOTAL FEE 3 I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INS Eq TOR'S8IGNATURE DATE DWELLING TO THE PUBLIC SEWER,," SIGNED THIS l DAY OF 71*-tr_ - _ I NEW HOUSE SEWER ,9�,�, N OWNER OR e� ECT ADDITIONAL OL ING OR WORK WNERS AGENT'c /, /�� SEPTIC TANK SEEP PIT(8) ADDRESS 7,0w/--6, -f"�F � � AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL DRYWELL I] CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR SEWER OR REGULATINGPLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS SIGNATURE SEEP PIT(S)E] CESSPOOLS OF PERMITTEE _r 7UG42A 063 7/53 DEPARTMENT OF COUNTY ZKGnrEER SEWER—SEWAGE DISPOSAL 1 ' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BILDING WILLIAM J. FOX, COUNTY ENGINEER I ADDRE880 e /$e,0t-'L, FOR APPLICANT TO FIL LOCALITY ?" C , ADDRESS [pD , ZI NEAREST �loo'cl LOCALITY DISTRICT NO Ready for Jpobtloo PERMIT NO c NEAREST I (_ y� �- J CROSS ST RECEIVED BYBB DATpE� ISSUED BY DATE OWNERZth Ap MAIL USE ZONE OCCUPANCY BK MAP PQ ADDRESS CITY e eil TELNO P,—),&1 CONTRACTOR r I Q �, C 9- JOB N ADDRESS A/1+�O CITY GS� CSD UIN�EL NO ��e ���3 TRUNK PERMIT NO STATE REGISTRATION NO a COUNTY _ ROAD PERMIT NO LEGAL n DESCRIPTION LOT NO STATE ENCROACHMENT /` PERMIT NO BLOCK TRACT /6 �. INDUSTRIAL WASTE APPROVAL 812E OF LOT /O�� I Q NOW ON LOTS / CHARGES USE OF L -� .i.!n_i 1_�D P� BUILDINGS w CONNECTIO ARGE FEE NO DESCRIPTION O ORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER 0 $ 3 U RECEIPT NO I BY HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 100 CONNECT ADDITIONAL BLDG OR CEPTION RECORDED WORK TO HOUSE SEWER 100 ALTER OR REPAIR EXISTING NO DATE BY SEWER OR DISPOSAL SYSTEM 100 _ AND%OR DISPOSAL SYSTEMT AND N SEWER 1 00 CONNECTION DATA PEND% RRNFET ORTSAOOAIIILD 200 STATION � DEPTH CESSPOOL—DRYWELL w SPECIAL CONDITIONS ONLY 290 ♦ MANN E REFERENCE LOWER TYPE OF CONNECTION . LENGTH FROM OWNERS PERMIT $ I 00 Y cues P L M L TO P L AUTHORIZATION I TOTAL FEE I NAVE 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 HEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS _ _ .._ _ -- - ---- SEPTIC TANK DRAINFIELD IT(8) 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL I] DRYWELL CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR SEWER OR REGULATING PLUMBING AND SEWERS SEWAGE DISPOUL SYSTEM 1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUS AND AND STATE OF CALIFORNIA OR THAT I AN THE GAL OWN- ABANDON HOUSE SEWER ER OF THE ABOV RIB RESIDENTIAL P PERTY BACKFILL SEPTIC TANKS SIGNATURE �A� SEEP PIT(S)[] CESSPOOLS 0 OF PERNITTE •v 76A042D S&E 663 4/64