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Home My Public Portal About6542 OAK AVE_Sewer__ I Ii 78A642D (- APP .1 C A T I O N FOR PERMIT DIy ON OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Deportment of County Engineer i County of Los Angeles BUILDING; ADDREss kHN A. LAMBIE, COUNTY ENGINEER ` CASSATT D. GRIFFIN, SUPT of BUILDING LOCALITY NEAREST _ FOR APPLICANT TO F LIN CROSS Sr -= u LEGAL DESCRIPTION LOT.No. --- d '�. OWNER - '-' - F MAIL BLOCK - TRACT "" .� a ,ADDRESS i t y NO.OF BLDGS: SIZE OF LOT p - NOW ON LOT CITY. _.,. _ TEL. N0. USE OF -- --- -- - DISTRICT R0. GROUP _ .. MAP BUILDINGS BK FG CONTRACTOR ?. - 4 CONNECTION DATA ADDRESS ^Z_ CS'CY i4 _ TEL. N0. ;?' ..o �'< - STATION -..ri -`---- DEPTH _. - -_-��— - " MANHOLE,REFERENCE :h STATE - -r a LOW-Ek REGISTRATION N0, '' ,r i'� x� -- - z NO. COUNTY DE,5 R'PTION OF WORK - --" - ajn ---NNBCIL- GT — HJU5;S WER ------- „-- _--- ` -- {, TYPE Y E 0 E—":GNCTION -..-LE_NG-TH FROM CURB P L. M.L.TPPUBLIC SEWER 55i - - St,PTIC Ti MY PITS AND/OR DRAINFIELD ' OVERFLOW SEEPAGE PIT,D-RAiNF�gELyD ! I P C NO./ EkTN.,CESSPCIOL,DRYVvELL, ' ' t $ZAO' co NO 10B NO.- HOUSE ._---h—._.L----- -- ------- �- ----- - - HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM (o' a i.0� j— TRUNK PERT41T NO. ROAD PERMIT NO�r' CONNECT ADDITIONAL BLDG OR - j TATE ENCROACHMENT WORK TO HOUSE SEi"IER CfS i.DO _ S,: PERMIT N0, ALTER,REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM a' I. "NDUSTRlA:L. --_.-- _-- WASTE APPROVAL. CHARGES CONNECTION CHARGE FEE OWNER'S PERMT REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE - c e I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS j DATE jINSPECTORSS.iGNA7UP,% ' E ABOVE DESCRIBED EXISTING DWELLING --- ------S _NSPE- TO HE PUBLIC SEWER. NEW HOUSE SEWER SIGNED 'THIS p �zy DAY OF _• 19 CONNECT ADDIT[ONAL --'- OWNER OR BUILDING OR WORK OWNERS AGE,�IT . ------ ----- ----- - � k ;�- SEPTIC TANK.SEEP, PIT(S) I ADDRESS - i. -"" ANDOR DRAINFIELD 1 HEREBY ACfC't'8OkEDGE THAT 1 HAVE READ THIS APPLICATIVN - CESSPOOL C] DRY1h'ELL Z AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -ALTER,REPAIR SEWER OR 4-- PLUM3ING AND SEWERS. I _ SEWAGE DISPOSAL SYSTEM 1 HEREB't CERTIFY THAT I AN PROPERLY REGISTERED AND/OR ^ SCOPINEC. PLUG AND -- �--I ---_- -- LICFNSES REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT HOUSE SEW ER ' CALIFORNIA OR THAT I AM THE LEGAL OWNF,R OF THE ABOVE ABANDON---- --- --- - - DESCRIBED RESIDENTIAL PROPERTY, BACKFILL SEPTI._ TANKS 0 ( - SIGNATURE - SEEP.H(1(s) L. CESSPOOLS_ - ,-- - —OF PERMITTEE <.. ✓r''L � — JO}iN A. LAMBIt, dOUNTY ENGINEER VALIDATIO�I�7,`- ROBERT A.WOOD. CHIEF PLBG. INSPECTOR CK. N, ;1. c- E808 10-63 L 6A642C) APPLICATION FOR PERMIT .,COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER-SE GE DISPOSAL BUILDING AND SAFETY DIVISION W-HILDI - I 0 NG A ORE JOHN A. LAM'BIE, County Engineer WILLIAM A. JENSEN, Supt of kullding - - ---- LOCALiTY FNEARFST CROSS 11 T. e FOR APPLICANT TO FILL IN ST r2 R'PT(ON LOT NO. ✓ _Ow_N_E_R MAIL. BLOCK TRACT ADDRF SS NO. OF BLDGS- SIZE OF LOT, ="cr NOW ON LOT CITY TEL. NO. USE 07 BUILDINGS DISTRICT NO. GROUP ;4 A PPRCy.S51ED BY BK CONTRACTOR Jel ADDRESS CONNECTION DATA STATIONDEPTH CIT Y T L. NO STATE MANHOLE REFERENCE U F] COU L 0 E R REGiSTRATION NO, ___NT Y NO, DESCRIPTION OF WORK FEE TYPE OF C��, TIONLENGTH FROM 'HOUSE SEW_FW_EO5NNECTiNG TO Y. C-CuRt P.L, M.L.TO P:L.. 1 PUBLIC SEWER cm, $5.00 P.0NO. I SEPTICTAf is . JOB NO y' PITS AND/OR IIFI.�INIIELD $10.00 CO.IMFNO. E:SEWtR ON NECT I NG-1 a TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 NT _IbAv_�fTWAIMR� 4 ORD.I STRI No'. �C 0,NNECT ADDI fi ONAL SL DG.OR AF F DATE WORK TO HOUSE SEWER @ S3.00- OVERFLOW SECPAGE-PiT,ORAINFIELD EXTN.,CE5SPOOL,DRY WELL,M AN HOLE.@ s 5.02 J__ HWY.OR ST.WIDENING _ ,0.�ABANDON HOUSE Col.-V.� SEWE'R OR.DISPOSAL SYSTE�m @ 53.09 t -N-C-R.0 ACHMENT STATE L PERMIT NO. INDUSTRIAL _WASTE APPROVAL CHARGES 2! OWNEN�s -PERMIT-- S4 2LOO CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- RExMSURSEMENT FEE T ONNE'C TRACTOR TO Cl THE ABOVE DESCRIBED EXISTING DWELLING To THE PUBLIC 5 Eo ER. APPROVALS DATE :!NSPECTOWSSiGNATURE SIGNED THIS----DAY NEW HOUSE SEWER OWNFROR OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK i ADDRESS SEPTIC TANK.SEEP,PIT(9) IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/ORO-RA!NFiELD i A Pi D STATE THAT THE: A80VF IS CORRECT AND AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMB NI; AND SEWERS. RS. CESSPOOL Cl DRYWELL 13 I Hl:R-IY CERTIFY THAI' I All PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR I L�CENS-0 AS REQUiRED BY LOS ANGLES COUNTY AND STATE OF SEWAGEDISPOSAL SYSTEM C WCIA" I AM TH ALORNIA R THA" LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND TIA� PIR ERTY. RESIDE IN, THE ABOVE i�_EscA ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE' BACKFILL SEPTIC TANKS SEEP.PIT(5) ❑ CF55POOLS D: 'VALIDATION_,-,- ROBERT A. WOOD A. SUPERVISING MECHANICAL ENGINEER CK. M.O. '�,j �77 7 6, yy CJ E808A642ra,°-6� 6A64APPLICATION FOR PER IT COUNTY OF LOS ANGELES SEWER SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER � BUILDING AND SAFETY DIVISION FN ' NG ,o JOHN A. LAMSIE, County Engineer SS S�� ---- — WILLIAM A. JENSEN, Sunt of Building ✓ T TFOR APPLICA Tt7 FIIN r. --- - --- _._ A OWNER _--LEGAL ._ ✓'� _ DESCRIPTION LST N0- B - _ ''G..r✓'K_•"`� _ BLOCK TRACT _�.�.R- �+' ACDR.:`vS�.6•' L_ !_..__...� - e. _ _ ': -._:°-. NO. OF tLDG5, SIZE OF LOT _ NOW ON LCT �I.Y EEL. .C. USE C ;. GROUP BC[)I CI N:�S DISTRICT NO. MPROCESSED'>C ESSED BY BK PV ..J CONTRACTC'R. ,•yY',.E •ffs'� - ,i ADDRESS -$ CONNECTION DATA < .+ STATION DEPTH STATE MANHOLE REFERENCE -..1 ,,.� RE s IS RA ION NO - ,✓ _ �. c,uNry "i'y_.� �+':' Z IoWEr, _. NG r SCFt;PTION OF WORK FEE - --- -- - TI _ 'TYPE,OF CONNECT LEN GH 'ROM ` -- Y. CURLS P.L. iOUSE SM.L 'T .E WER CONNLGT[YdG O PUBLIC SEWERn S I(�7AN+! SEc.PA GE PIT GR - i -� Ca.IMP NII. s' ;,x,: J')i3_NO _I PiT5 AND/OR DRAiP{FI ELD � $.t7�.OU � �- _,y_.�. ..._.- _-.—._ _._—_.__ -I F OUSE 5F y'EH CCGN NEt:T1NG TO f TRUNK PERMIT NO. ROAD PERMIT NO. - t„ PRIVATE DISPOSAL SYSTEM E3.A0 r:.. .G0 ' AF•FIAAVIT ! wAtYeR EA'E/Azrar REC7R0..INS R NO. DATE -.. C NWEC.r.ADD i.7NA WORK TO L BLDG OR OUSE SEWER s 3L BLDG OR � _. I OVERFLOW SEEPAGE PIT 6RAihF1 I FA I FXTN CESSPUU C.RYW EL MANHOI E � $5.f.)O +- .__, _ ,_ ._ HWY.OR 5T.WIDENING ' ' AL7Eft.RcPA;R 6R A3ANUUN HOUSE � _ —__ c.V.F_RQR DISPgfSAL SYSTEM � 'w 3,DA i -____-, ST'AT'E ENCROA CN!AEN7 �' / I - rr�-.__- .—._--1___— INDUSTRIAL > WASTE APPROVAL _.__-.__�_______..__—_.-_ -- CHARGES fJWNEI$S PERMIT z oo -- - - - -- - ---.-- - --__-----..—___..------, ---- AUTHORIZATION TMS L FEE - CONNECTION CHARGE FEE 'I HAVE AT THIS DATE A CONTRACT WITH. THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTi]FC TO CONNECT IEC'* THE ABOVE CESq RIFE EXISTING C'Yl ELL1NG _ —_rygq_9�_t�.—....— TO THE PUBLIC SE.YER. A�I'Ll®VACS DATE INSPECTOR",�.IGNATU RE SIGNED THIS—_DAY OF—_--. 19-- OWNER OR NEW HOUSE SEWER OWNERS AGEri.7_-� _.,..-.Ln:_�i_ .— ___ `.. -_._.__ ------------- fL CONNECT ADDITIONAL i BUILDING OR WORK ADDRESS— _- - - - PEPT7•^.TANK,SEEP.PIT(57 !DHFR SY ACKNOW LEL C E THAT 1 AVE READ THIS APPLICATION AND/OR DRAINFIELD � AND -STATE THAT HE ABOVE 15 CORRECT AND AGREE TO COMPLY WIT}i .ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMB:NG AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT f AM PROPERLY REGISTERED AND/ORALTER,REPAIR,SEWER OR L!.ENSCD AS K CU' - BY LOS ANGLES COUNTY NO STATE OF SE'WAGEDISPOSAL SYSTEM CALIF R ,IA OR T I�J`M THE LEGAWN£R OF, AND INTEND TO DISCONNECT PLUG AND' RESIDE iN,. T-Hr BOO: DESCRIBED ID CN' AL ROPEPIT'Y. ABANDON HOUSE SEWER_ „-- S:GNATI:RE /////J .BACKFILL BANKS TAN K.�, ❑ (�I F PF_RMI E SEEP,PiT(S) ❑ .Es5r -S VALIDA70N - ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK. M.o. ; CASH 6707-0 OCT 2 21D 5,00-