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Home My Public Portal About10101 OLIVE ST_Sewer__ E A642D-EY APPLICATION FOR PERMIT '6A842 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING q 1 ADDRESS IOHN A, LAMBIE, County Engineer WILLIAM A. IENSEN. Sup't of Building LOCALITY NEAREST FOR APPLICANTO FII. IlJ_�ROSSi. .- d ST._L r LEGAL DESCRIPTION LOT N0. 7. w� 1 , . OWNER BLOCK TRACT 'J y ADDRESS 0.OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE BUILDDINGS DISTRICT NO. GROUP MAP PROCESSED BY ¢_ BK , PG CONTRACTOR ADDRESS 9` A L_ CONNEECTION DATA _ - - CITY � STATION r: t. DEPTH _ = STATE MANHOLE REFERENCE .' .. ..UPPER REGISTRATION 110. S j COUNTY >� J No. I DESCRIPTION Of- PEE HOUSE SEWER CONNECTING TO z- q._, PUBLIC SEWER @ $ .00 d' F TYPE OF CONN TI LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR CU5, M,L.TO P.L.- PITS AND/OR DRAINFIELD @ $1.00 t... .., , OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL.DRYWELL C. $100_ 6L HOUSE SEWER CONNECTING TO yr'" P.C.NO. PRIVATE DISPOSAL SYSTEM @ $.00 CO.IMP.NO. SOB NO. (� CONNECT ADDITIONAL BLDG.OR ,! WORK TO HOUSE SEWER @ $x.00 TRUNK PERMIT NO. ROAD PERMIT NO. i =}1 j .� pe SEWTEER OREPIR DISPOSAL®YSTE4 HOUSE $1.00 STATE ENCROACHMENT 0 ?ERMIT N0. INDUSTRIAL d CL WASTE APPROVAL CHARGES Z OWNRR'S PER= S _2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE !'' `3"' " REIMBURSEMENT FEE IHAVE AT TRACTOR TO THIS ONNECT THE ABOVE DESCRIBED EXISTIINGADWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER, SIGNED THIS DAY OF 19— NEW HOUSE SEWER OWNER OR �v' Via..,; 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT JA THE LEGAL 4WHEt1 OF THE ABOVE BACKFILL SEPTIC TANKS DESCRIBED RESIDENT➢ L 0 ERTYo L��IF ATURE SEEP.PIT(S CESSPOOLS PERMITTE£sd-."�f ,'^.t✓t�.- :1��-E..��_1—_. /..,, f= � VMMATTON ROBERT A. WOOD Cc ;' U.0. c"If SUPERVISING MECHANICAL E 40INEER :E808 $9 fiA642D642D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER--SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FEAREST JOHN A, LAMBIE, County Engins or ! '=�� WILLIAM A. JENSEN. Sup'! of Builaling .% + p r FOR APPIBI� tT, T F1I.Io, . i LEGAL DESCRIPTION LOT NO. �' � �'`• /✓ - OWNER t } 14 BLOCK. TRACT I c MAIL , ' -shy, r .-.�- ADDRESS OF BLDGS, SIZE OF LOT NOW ON LOT CITY TEL. NO USE OF BUILDINGS DISTRICT NO. GROUPMAP PROCESSED BY BK Poi CONTRACTOR " " ADDRESS-/ ( A CONNECTION .DATA �' -! �.._ CITY�Y s , .c.y..: ,\ TEL.NO: �r STATION DEPTH DEPTHSTATE REGISTRATION NO. l r 1 ❑ COUNTYMANHOLE REFERENCE t UPPED OyYER-.: NO. I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER $9.00 TYPE gF-:CONN tT LENGTH FROM TANK,SEEPAGE PtETS AND/OR DRAINFIIELDT OR $3.00 Y. : .-•C L. M.L.TO P,L. ✓) !� OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL,DRYWELL @ $2.00 _— PVSDVPCONNECTING TTO � NRIATLISOALSYSEM@ $9.00 CO.IMP.N0, : JOB O CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. / J.�ay ' WORK 70 HOUSE SEWER @ $1.00 ALTER,REPAIR OR ABANDO $USE STATE ENCROACHMENT SEWER OR ISPOSA- YST Mt @ $ 9.00 PERMIT NO. U INDUSTRIAL shy, WASTE APPROVAL to CHARGES z OWNER'S PERMIT a -(jf}-- CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE - REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVAInS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 1.9____ NEW HOUSE SEWER OWNER OR � � CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS_ SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD ! 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 ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL ER OR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR SEWAGE DIS PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RES1�77€:N".IAL PROPERTY. i" BACKFILL SEPTIC TANKS ❑ SIGNATURE SU P.FIT(S) ❑ CESSPOOLS OF PERtfi97T£ �' - r - VAIMATION ROBERT A. WOOD I CK. Y.0. CASH SUPERVISING MECHANICAL ENGINEER � / E808 11-65 5A 542D APPLICATIOJ FOR PER IT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING J01IN A. LANMIF, County Vrlginta r coi_ENTAN IC. JENKINS,Sup�'t. of Building — LOCALITY - NEAREST FOR APPLICANT TO FILL CROSSST S U' N 1, A ..E.. *0 C A L'TY * i�iT FEAR GROSSST R _CWN ER: DESCRIPTION LOT NO WAIL BLOCK T IRA T,p�,e"e41�6 •_:_� NO. OFBLDGS. / ADDRESS ,,, . -?- SIZE OF LOT • NOW ON LOT ,0-l7e BUILDING DISTRICT NO, GROUP MAP BY SK PG CONTRACTORC. Dg ADDRESS CONNECTION DATA STATION DEPTH C I T YhN LICENSE UPPER 1 'C MANHOLE REFERENCE NO -. - S� � LOWER N077DESC 40�6� WORKFEE TYPE OF CONNECTION LENGTH FROM Y HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER $ 5.1 j SE—TyTiC_l_A_N_K,_5EEPA G;r PIT OR P.C.NO. PITS AND/OR ORAINFIELD $10.00 CO.IMP, NO. JOB NO. 0 HOUSE SEWER CONNECT ING TO TRUNK PERMIT NO. ROAD PERMIT NO. u PRIVATE DISPOSAL SYSTEM $ CONNEC"I AOl) AFFIDAVITEa ENT RECORD.INSTR.NO. DATE ADDITIONAL ONAL WORK 10 HOUSE SEWER 3.001 'A L7-E R R SEWER OR DISPOSAL SYSTEM $ 3.00 HWY.OR ST.WIDENING _� E ENCROACHMENT— XTN.,CESSPOOL, MAN-CLE $ 5.001 SAT i PERCOLATION TEST $ 5�oc PERMIT NO, INDUSTRIAL WASTE APPROVAL CHARGES OWNER'SPERMIT AUTHORIZATION I-TOTAL FEE 0 CONNECTION CHARGE FEE j-'00 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR T CONNECT THE ABOVE DESCRIBED EXISTING DWELLING DATE IN H P INSPECTOR'S SIGNATURE TO THE US L IC SEWER. APPROVALS SP SIGNED THIS DAY OWNER OR NEW HOUSE SEWER OWNERS CONNECT ADDITIONAL BUILDING OR WORK ADORESS SEPTIC TANK,SEEP.PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/Oft DRALNFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING MB E CESSPOOL 0 DRYWE [:1 PLU ING AND SEWERS. 11 LL I HEREBY CERTIFY THAT I AM PROPERLY REGIJTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS RNEQED'-I' LOS ANGLE' COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM C F M", , NE 0 yl AND INTEND IN 0 T 0 A I_1 F.RNIA OR T� IA THE LEGAL, N�� L), R FR DISCONNECT PLUG AND RESIDE IN. THE ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS 0 Or PERMITTEE, BEEF'.PIT(S) 0 CESSPOOLS ❑ VALIDATION CK. M.0. QL!H LAL