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Home My Public Portal About9531 OLEMA ST_Sewer__ wrqq,DEPA.,,.ENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES ro WILLIAM J. FOX, COUNTY ENGINEER BUILDING # ADDRESS �✓ �L � f FOR APPLICANT TO FILL IN LOCALITY I- BUIL i?iNG NEAREST _ADDRESS V-6 - }/ v ��./�,� , y CROSS ST. LOCALITY . - 66 DISTRICT NO. ySERIAL NO. PERMIT NO. NEAREST �' - c--c:, A t�Gam.4--7 /©l cs�cl S CROSS ST. OWNER / / / / E EtV .0 Y Ready for inspection DATE ISSUED 7t"`e�,�/y`° �t�% MAIL ADDRESS SE Z NE I OCCUPANCY MAP BK PG CITY TEL.NO. I �1 CO NTRAGT0R,,4�1 '7. L�- t r: - CO.IMP.NO. 77 f I�. ADDRES3 ✓ ,� Yrr _- JOB NO. CITY / 3 TEL.NO. ` A,-Y 22 � =` TRUNK PERMIT NO. REGISTRATION NO. ❑ STATE _ ��/Y :z COUNTY ROAD PERMIT NO. 2L !13 5 ,2 2 LEGAL DESCRIPTION LOT NO. ''�_ C_ STATE ENCROACHMENT _ PERMIT NO. BLOCK TRACT -i-- -�� ys-- 3 INDUSTRIAL WASTE APPROVAL SIZE OF LOTNO.OF BLDGS. NOW ON LOT CHARGES USE OF BUILDINGS _ ' CONNECTION CHARGE FEE NO.1 DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO _ REIMBURSEMENT FEE ,._. PUBLICSEWER @ $ 3.50 RECEIPT NO. DATE BY HOUSE SEWER CONNECTING TO ----•- -- PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED ___YORK TO HOUSE SEWER 1.00 —. ALTER OR REPAIR EXISTING ND* DATE BY SEWER OR DISPOSAL SYSTEM 1.00 > .... ... .. .. . ... DISCONNECT AND ABANDON SEWER AHD/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AHD/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL-D RYW ELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER ( 'L°O'w" YPE OFC NECTION LENGTH FRO OWNERS PERMIT $ 1 00CURB -4LL._ M.L.TO P.L. AUTHORIZATION TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPEC70R'SSIGNATURE DATE SIGNED THIS--------------------DAY OF.....-------......................__....19..._... NEW HOUSE SEWER OWNER OR y. CONNECT ADDITIONAL OWNERS AGENT .u... __ �mmrx: 6.....e BUILDING OR WORK _._-..__.._..__....__.. SEPTIC TANK,BEEP.PIT(S) ADDRESS- --..•-_--..____..:_......-_.___.__..............._._--_. AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] DRYWELL E]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 IAM 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. BACKFILL SEPTIC TANKS[] SIGNATURE SEEP.PIT(S)Ei CESSPOOLS El OF 76A642D 663 1/53