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Home My Public Portal About6333 OAK AVE_Sewer__ ii 5 C-0APPLICATION FOR PERMIT IT 1 v&[•G FiS i2.�S:Y DI,aSIOIN OF BUILDING AND SAFETY --SEWER-SEWAGE DISPOSAL Department of County Enoneer County of Los Angeles BUILDING,.' NNIYI. J. FOX, COUNTY ENGINEER ADDRESS - - CASSATT D. GRIFFIN, SUP'T OF FSUILOING LOCALITY FOR APPLICANT TO FILL I NE.AR£sr LEGAL DESCRIPTION LOT NO. OWNER BLOCK TRACT MAtL ADDRESS NO. Oz -a. ___j SIZE OF LCT _ NOW ON,I_Oil CITY ;. .- TEL. N0. USE OF BUILDIN S DISTRICT NO. ! GROUP MAP --- I SK PG CONTRACTOR `" ADDRESS CONNECTION DATA, CITY :c "STATION 4VDEPTH 0 STATE Y °..' h NHOLE REFGRLv E REGISTRATION NO. Lt COUNTY --__. '_ o.>"' UPPER '-.. - - TYP 'SEC ION LE'NG H FROM -- •NO. DESC-RIPTION OF WORK "EE `�'. Mll8D� - P.L. M.L 1-0 1,- HOUSE SEWER CONNECTING TO r JBLIC 5E iER _ -_ 'g _3 5D HOUSE SOWER Cf,�NNECTING TO .l✓ATE DISPOSAL SYSTEM _ 1.00 --- CONNECT ADDITIONAL BLDG. ,r I 7 OR �; CO. imp. N0. .sic. c1 / JOB_ NUJ_- WORK To HOUSE SEWER i.Cp i -. TLTEROR PFPAIP EXISTING SE',,';FP DRDISPOSAL SYSTEM _- 00 1 TRUNK PERMIT NO. ROAD PERM:T N0.- _ JI C3NIv ` 4tiD A{SAN a04{ SEWERR j ;TATE ENCROACHMENT AN OR JI IS, StSTEM 1:00.1 ERMIT NO. S PTC TANK SEEPAGE PIT OR I ..�'- F TS AND/-011 DRAINFIELD 2.00 INDUSTRIAL CESSPOOL-DRYWELL -- Ai ASTE APPROVAL SPECIAL CONDITIONS.ONLY _2.00 CHARGES --. --_-�`--- -- CONNECTION CHARGE FEE OWNER'S PERMIT $ 1i Op AUTHORIZATION 1---TOTAL FEE E'KIBURSEPAENr FEE I I4AVE THIS DATE CO 'TRACTED WITH HE HEREIN NAMED CON- TRACTOR TO CONNECT THE MOVE DESCRIBED EX- N- uy"EL:LING ,.APPROVALS DATE _ IN5PCC'tOR'SS1'NATURE TO THE PUBLIC SEWER a.- --'""�` ----`_"" NEW HOUSE SEWER SIGNED THIS.----DAY OWNER OR CONNECT ADDITIONAL V OWNERS AGENT- BUILDING OR WOPr .: -- -- SEPTIC TAN , 4 EP. PITS) _. ADDRESS - _ NU./0_R i7�2A{h,F tL9 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL© DRYWELL[I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTER _ I HEREBY CERTIFY THAT I AM PROPLRLY REGISTERED AND/OR DISCONNECT PLUG AND AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOPS; SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - - DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS CI SIGNATURE - -_ SEEP_P'IT(S) Or PERMITTEE- _ WILLIAM J. FOX, COUNTY ENGINEER VAI.IDA,T'ION BY BY DEPUTY DEPUTY 67 BY m DEPUTY DEPUTY Ia�E4e311.55 APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE,COUNTY ENGINEER ADDRE5o^ CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY _ FOR APPLICANT TO FILL IN CROSS ST. _ ~� LEGAL OWNER DESCRIPTION LOT NO. _ MAIL BLOCKTRACT ADDRESS NO.OF BLDGS. CI7Y VY-��- e TEL. NO. SIZE OF LOT - NOW ON LOT __ - , USE OF ^ DISTRICT NO. GROUP I MRP -r. BK PC cotyTRAc7OR ADDRESS , CONNECTION DATA STATION DEPTH CITY,•, - ,.-:TEL, NO. �' ..--.._--. UPPER MANHOLE REFERENCE -._ Cl STATE -_ ,---� ---,LOWER REGISTRATION NO. 0 COUNTY NO. I3ESCRIPTION OF WORK FEE - - - --- --- HOUSE SEWER CONNECTING 7q - 1--- ! TYPE OF CONNECTION LENGTH FROM PUBLtC SEWER $9.50 �.. Y• — CURB_— P.L:-_ M,L.TO P.L. _ — SEPTIC TANK,SEEPAGE PIT OR---.-.— . ------ '--- --^ _ - PITS ANVOR DRAINFIELD (a) $3.00 I OVERFLOW SEEPAGE PIT,DRAINFIELD EXI'N.,CESSPOOL,DRYWELL,MANHOLE {J $2,00 CO, imp. NO. JOB NO_-_-_�____ ---- HOUSE SEWER CONNECTING TO - -- PRIVATE DISPOSAL SYSTEM e. $I.00 _TRUNK PERMIT NO. ROAD PERMIT NQ.�--__.___.,-_ CONNECT ADDITIONAL BLDG.OR -- -^----- STATE ENCROACHMENT - z .. I_WORK r0 HOUSE SEWER ((i. $1.00 _ _ PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE ----- -------�---�^ ----. --�---- SEWER OR DISPOSAL SYSTEM (6) $7.00 I INDUSTRIAL WASTE APPROVAL CHARGES 3 _-,--,---- - CONNECTION CHARGE FEE OWNERS PERMIT � 1 00 AUTHORIZATION TOTAL FEE - -- JREIMBURSEMENrFEE^_—.------ �u_------.'--�--- - APPROVALS DATE �INSPECTOR'S SI GNAT U RE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBL.ICSEWFR. NEW HOUSE SEWER I I SIGNED THIS.-.- DAY OF ._.. 19—.- CONNECT ADDITIONAL BUILDING OR I d OWNER OR : .OWNERS AGENT—__ SEPTIC TANK,SEEP,PIT(S) ! I ADDRESS._.._— AND/OR DhAdNFIELD i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL(_! DRYWELL L ? AND STATE THAT THE ADUIE {S CORRECT AND AGREE TO COMPLY � WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUVBING AND SEWERS. - SEWAGE DISPOSAL SYSTEM � I HERBY CERTIFY THAT [ AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND I I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE -----. ---- -_._-_ DESCRIBED RESIDENTIAL PROPERTY, - BACKFILL EPTIC.TANK SIGNATURE SEEP PITS) L CESSPOOLSL�—_... —_,..�. --- OF PERMITTEE x ^ i JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSFEGT9R CK. M.Q. CASH