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Home My Public Portal About6634 OAK AVE_Sewer__ IDEPARTAU+qT OF COUT4W ENGnvEER. SEWER-=SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUIS= OF LOS ANGELES WILLIAM J. FOX, COUNTY-ENGINEER ' BUILDI.NG ADDRESS FOR P (CANT TO I;L IN`^ LOCALITY BUILDING NEAREST' fv ADORE8S +� 1 _¢_%a'`_ CROSS ST. LOCAL' �6c d! y�� DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST ,.��• �, � CROSS ST. RCE VED BY Ready for Inapedlon LDATE ISSUED�7 OWNER _ . � ADD - USE ZONE OCCUPANCY MAP ADDRESS i!� r,. V SK PG CITY I. CONTRACTO . CO.IMP.NO. I l ADDRESS j fie '. ,;t JOB.N0. TEL.No" . TRUNK PERMIT N0. STATE REGISTRATION NO. X111 , 000NTY ROAD PERMIT NO. b64'8 LEGAL - STATE ENCROACHMENT'c DESCRIPTION LOT NO.. Q 1/C} e!fJ T/' C� I PERMIT NO. -' BLOCK TRACT Jrlilr.+� r rTn �.Jr, CA, INDUSTRIAL � •ri"~ WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT CHARGES USE OF /S!'r�.i CONNECTION CHARGE FEE -BUILDINGS B �Ciy,! " NO. DESCRIPTION OF WORK cFEE REIMBURSEMENT FEE ---HOUSE SEWER CONNECTING TO- P --•.- - -- Y-:. _ _ _ __ BLIC SEWER QT $ 8.50 f.•' RECEIPT NO. D TE BY, - HOUSE SEWERCONNECTING TO i I PRIVATE DISPOSAL SYSTEM 1.00 C.ONNECTADDITIONAL BLDG.ORY` - EXCEPXf0N. ECORDED WORK TO HOUSE SEWER 1.00 / ALTER OR REPAIR EXISTING' NO. DTE. I BY SEWER OR DISPOSAL SYSTEM 1.00 I DISCONNECT AND ABANDON SEWER ' _AND/OR DISPOSAL SYSTEM 1.00 /CONNECTION DATA 8EPTIC TANK.SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION /6 57-% DEPTH 7 CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 i a / MANHOLE REFERENCE /1/ JIP-ER- LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $-1 1 00 CURB _&L— M.L.TO P.L. x / AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED W4TH'THEHEREIN-NAMED CONTRACTOR TO. CONNECT THE OVE CRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SE ER SIGNED THISS......DAY O ._ ,Iq NEW HOUSE SEWER OWNER OR �/ ,� CONNECT ADDITIONAL OWNERS A €NT...I.� .�-� x!v.. ..:'.{! BUILDING OR WORK l/ _ .. a '}= / SEPTIC TANK.SEEP.PIT(S) ADDRESS. ;p__. �„�f: :°.....___ /: AND/OR DRAINFIELD I HEREBY ACKt OWLEDGE THAT 1 HAVE READ T141S APPLI- CESSPOOL[] DRYWELL 0 CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE- TO GREETO 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 CALIF RNIA OR TH AM T.E LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOV / CRIB I TI PROPERTY. BACKFILL SEPTIC TANKS(] 1 �� SIGNATURE SEEP.PIT(S)D, CESSPOOLS Q ' Q 1 OF PERMITTEE... .._ __x -_........._.._.._.�.._...._._.._.._....__. / `� TOA642D 663 1/58 TEMPLE CIT :f ' EOOS08 8.89 APPLICATION FOR PERMIT 8 7 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING jam JOHN A. LAMBIE. County Engine- CASSATT D. GRIFFIN. Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER ` - —r _, _-St�N�tf Z� 1 TRACT ` MAIL a i ADDRESS..,* `_� +°t ' NO.OF BLDGS, SIZE OF LOT a NOW ON LOT i' CITY TEL. N0. USE OF e_� BUILDINGS �(�: DISTRICT N0. G OUP MAP PROCESSED BY BK PG CONTRACTOR t I �t j �=_.,Y ✓ i {i ADDRESS : f C09NECTION DATA CITY / t TEL.NO, STATION DEPTH _ STATEMANHOLE REFERENCE UPPER REGISTRATION NO, ( ,. COUNTY LOWER No. DESCRIPTIO o work' FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ Sim I TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L, PITS AND/OR DRAINFIELD @ S4.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN,.CESSPOOL.DRYWELL @ j'00 - - HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1 100 CO.IMP. NO. JOB NO. CONNECT AQQITtONAL BLDG,OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TD HOUSE SEWER @ $1!00 ALTER,SL:a£&.Fit-tteT'PMA-NTYON HOUSE STATE ENCROACHMENT SEIVER ntco0¢�r svcTEM @ $100 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT S Z 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE "'b REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DE 87 EXISTING D WELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWWY ( r SIGNED THIS DAY 0 . 1 � NEW HOUSE SEWER OWNER OR r CONNECT ADDITIONAL OWNERS AGI;(�.T BUILDING OR WORK ADDRESS '° .� G)`o :" TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE' READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL. ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. ALTER,REPAIR,SEWER OR SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT OSAAND LICENSED AS REQUIRED BY .YDS AIgG` LES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I A THVL GAL OWNER OF THE ABOVE DESCRIBED RESID£, L P E TY BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP,PIT(S) ❑ CESSPOOLS OF PERMITTE �"s D. VALIDATION - ROBERT A. WOOD GR Y.o, CAsti SUPERVISING MECHANICAL,ENGINEER F' •a �� Z CE808 76A642D3-64 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUH-DING JOHN A. LAMBLE, County Engineer ADDRESS WILLIAM A. JENSEN, Sup't of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST DESCRIPTION NO 1OWNER MAIL BLOCK TRACT ADDRESS NO. OF BLDGS. 01 LOT J SIZE NOW ON LOT CITY TEL. NO. USE DISTRICT NO. GROUP BK MAP PROCESSED BY OF BUILDINGS PG I CONTRACTOR _ Ptk(11(4 ADDRESS CONNECTION DATA STATION DEPTH L CITY TEL. NO. STATE MANHOLE REFERENCE: REGISTRATION NO. COUNTY NO, DESCRIPTION OF WORK FEE TYPE OF CONNECT-I-0N - LENGTH FROM ---- HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. EWER @ $5,00 fP.C.NO, .iu�a;;L,t;CSTA�NK,SEEPAGE PIT OR CO.IMP.NO, NO. 0- PITS A_Nal-!!_...INFIEU. @ $10.00 i JOB - HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 0 PRIVATE DISPOSAL SYSTEM $3.00 U CONNECT ADDITIONAL BLDG.OR AFFIDAVIT RECORD.INSTR,NO. DATE 1 WORK TO HOUSE SEWER $3.00 0 OVERFLOW SEEPAGE PIT.DRAINFIELO 1w FXTN,,CESSPOOL.DRYWELL.MANHOLE $5,00 U HWY. OR ST.WIDENING LU ALTER,REPAIR OR ABANDON HOUSEQ. SEWER OR DISPOSAL SYSTEM $3.00 STATE ENCROACHMENT PERMIT NO. z INDUSTRIAL WASTE APPROVAL —77— ---- - I CHARGES OVMER'S PERMIT $1 2 0"0 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEEt. .1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNE:CT THE: ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19 OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK.SEEP, PITS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR aRAINFIELD AND N0 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -- i---� WITH r ITALL COUNTY ORDINANCES ES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL [I DRYWIELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA I A OR THAT I AM THE.LE G ALSOWNER OF, AND INTEND TO DISCONNECT PLUG AND R JOE RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE BACKFILL SEPTIC TANKS ❑ SEEP,PVT(S) [3 CESSPOOLS `VALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENGINEER LAC6, 5 0 4 9� NOV28 2 C 5.00-