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Home My Public Portal About10061 OLIVE ST_Sewer__ -E8083-61 "6A6420 APPLICATION FOR PERMIT COUNTY or LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. County Engineor WILLIAM A. JENSEN, Supt of Building LOCALITY NEAREST FOR �;PPLIQkNy._TO, fl�,,L_;N -7—/-. CROSS ST. LEGAL �)r4. - DESCRIPTION LOT NO'.7, OWNER BLOCK TRACT IVI �fj' _ MAIL ADDRESS L L E BLOCK NO.OF SLOGS. a G LEGAL L I L DING D F _SS LOCALITY U 7A LO REST BUILDING 'T SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF BUI S DISTRICT NO. GROUP BK MAP PG PROCESSED BY CO CT" CONTRACTOR NT v ez. fps ESS CONNECTION DATA ADDRESS CITY DEPTH CITY TEL.NO. STATION J STATE MANHOLE REFERENCEPPER REGISTRATION NO. COUNTY /% NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $i-oo TYPE OF CONNFCTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. , URA P.L. M.L.TO P.L. ITS AND/OR DRAINFIELD s".00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.. CESSPOOL,DRYWE@ V.00 LL CL HOUSE SEWER CONNECTING TOP.C.NO, 0 PRIVATE DISPOSAL SYSTEM $1 00 CO.IM , NO, JOB No. CONNECT ADDITIONAL BLDG,OR TRUNK PERM !!0 WORK TO HOUSE SEWER $1 00 NO. OG At+t-R-iM*rxM-"-ABANDON DONN HOUSE 0 U. STATE ENCROACHMENT SEWER _TL $1100 i PERMIT NO. LU _INDUSTRIAL LU WASTE APPROVAL yy CHARGES z OWNER'S PERM $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE 1 REIMBURSEMENT FEE I HAVE AT DATE A CONTRACT WITH THE HEREIN CON- TRACTOR TO CONNECTTHIS THE ABOVE DESCRIBED EXISTINGNAMED DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS---.,.,--- AF 09— 7_ :_�_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC 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 0 DRYWELL 0 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTE14 I HEREBY CERTIFY THAT4.AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED B LDS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THA I * HE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL- NERTY BACKFILL SEPTIC TANKS [3 SIGNATURE SEEP._PI7(s) C so OF PERMiTTEE NAMATION ROBERT A. WOOD M.Q. CASH SUPERVISING MECHANICAL ENGINEER L 715A6420 i S.F_C113 f4-:'i5 FOR PERMIT /-` 11` DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE D I S-POSAL Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER -ADDRESS, - CASSATT 0. CRiFFIN, SUP'T OF PUILMNG LOCALITY_ NEAREST FOR APPLICANT TO, FILL IN LEGAL DESCRIPTION LOT NO_ OWNER c M AIL BLOCK TRACT ADDRESS kL SY�ZE OF LOT NOW ON LOT CITC4 TEL. NO. A&-, USE OF BUILDINGS DISTRICT NO. GROUP MAP SK PG CONTRACTOR fld,9j6KT i A D D RE SS X? ___c _com9w------- CITY Z__te TEL. NO s5UPPER_ -- 6�jji -_M-A NH 0_STATION DEPTH_L E R EFER EN-C_E a --STATE' REGISTRATION NO. couNn, NO. t DESCRIPTIO c FEE ---------- TYPE OF CONNECTION LENGTH FROM liOUSE SEWER CONNECTING TO CURB pUSLIC SEWER @ v-s.t6 M L,TO P,L. PEPTIC TANK,SEEPAGE PIT OR AND/OR DRAINFIELD $-3, --------- I OVERFLOW_SEEPAGE-PIT,--DRA--I-N-FIE-L-D---- P. C. NO, EXTNI., !NIP� NO. CE�SPOOL.DRYW-ELL,-MANHOLE $2.-00 j r JOB NO� CNNECTJNG TO ------- HOUSE SEWER 0 PRIVATE DISPOSAL SYSTEM s 1.()0 TRUNK PERMIT NO, ROAD PERMIT NO. CONNECT ADDITIONAL PLOG.OF, STATE ENCROACHMENT WORKW TO HOUSE SEER cv 1.(-, S c PERMIT NO. ALTREPAIR OR ABANDON HOUSE INDUSTRIAL SEINER OR DISPOSAL SYSTEM Q_j WASTE APPROVAL CHARGES CONNECTION CHARGF FEE OWNER'S PERMIT S I Fc)as REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE Ic( VALS i DATE 1INSPECTr,R SSIGNATURE 1 HAVE AT THIS DATE A CONYRACT WITH THE HEREIN NAMED CON- APPRO TRACY10 CONNECT ONNECr THE AS VE DESCRIBED ED EXISTING DWELLING TG THE PUBLIC SEWER. NEW HOUSE SIGNED THIS— PAY CONNECT ADDITIONAL OWNER ORBUILDING OR WORK Z --------____ I OWNERS AGENT SEPTIC TANK,SF EP,PIT(S) .ADDRESS AND/OR DRAI N F I F L 1) HEREBY ACKNOWLEDGE, THAT I HAVE REAL) THIS APPLICATION AND STATE THAT THECESSPOOLO DRYWELLF] ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR i. PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTEM I HEREBY CERflYY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG A14D LICENSED AS 11EQ'11�ARTEIII BY L ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA ( A'jL ii, I.EGAL,OVJN�R OF THE ABOVE /V R� DESCRIBED RESIDENTIAL PRO RTY. 7 BACKFILL SEPTIC TANKS Ej SEEP.PIT(S) CESSPOOLS E] SIGNATURE CF PERMITTEP is 1OHN A.'EAMBIE.CV- U,;#FYEN,iN_EE'Rw VALIDATION RCBERT A- WOOD, CHIEF PLBG, INSPECTOR Cg, M. O. 'A$R