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C5aos 10-62
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75A.842APPLICATION FOR PERMIT �t
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL 41{ei!
DEPARTMENT Of COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FUILDIN s —
JOHN A. LAMBIE. County Engineer A"DDREs , � � ��•�.�
WILLIAM A. JENSEi, Supt of $uilding
NOONLOCAL 7Y -
- __-
NEAREST
FOIA APPLICANT TO FML IN RAS' T —
_ - - - - _
EGIAL
OESCR FTION JT Ntj J V OWh ER �'- I„ 5
MA L
BLOCK TRACT t' -lay JK�,�d ;r"S ---__ MODRESS 1 4C•'f _ _,j�.d` -_- -" '>aV��-. .3 -
____ NO. OF BL GS. `�?-- �,r•. -r -
SIZE OF ( NOW ON LO' CiT'i 'P`E:I_. NO.
LCT
USE OF
a G DISTRICT NO GROUP MAP PRG ESSED BY
B(iILB t
CONTRACTOR
ADDRESS j - z- - CONNECTION DATA s
CITY ®(•"yr _ - -._ T.L. NO. z �, a.� e STadT1Otd is / F DEPTH _
REGISTRATION NO a' G « TATE MANHOLE REFERENCE
CIi COUNTY LOVJ R
_._
NO. Dr.SCR P'?` ON OF WORK FEE TYP Or COQ E 71 LEN TH FROM _
µ
[OUSE SEWER CONNECTING TO „T Y. , CUPPT. - V Py L.. _ - M..L 0 F_L
PUBLIC_SEWER O $3.00 I '-- ".s "—'•,<.� f —�
EPTIC TA NAC SEEPAGE PIT OR
AND/OR DRAINFIEL;D �, $ifJ 0D CO.IMP NO. ,{ys d - JOB NO
CONNECT ADDITiO NAL BLLG.OR ""T a
HOU SEw ER L.ONNECTIIVG T O
TRUNK RERMiT NO ROAD PERMIT NO. ��• d x
RIMA IL DI POSAL SYSTEM $3.00 I � ,li LU
�':DA ViY rwnlvice i ¢a.r eencwr I RECORD,INSTR.NO, D.4'YE
1 WORK TO HOUSE:SE'W'ER L $3.GO
—p
rOYERPLOJv
Y,DRAINFIELD
EXTN.,CES SPOOL,DRYW ELL,MANHOLE:@ $5.00 -
I ALYER REPAIR OR 46AND.ON-NOISE— HWY. OR 5T,WIDENING
SEWER OR DISPOSAL SYSTEM - -
___ .____ _—._..—_.—_.__.T 55_OQ. _—_. __. SPATE ENCROACHMENT
µ. — PERMIT NO _ - --
INDUSTRIAL s
j I
WASTE APPROVAL,
Fr
O KW PERMIT 21 Qo - -- - - CHARGES _ - --
AUTHORIZATION TOTAL FEE it CpNNE ION CHARGE FEE
I H.AV.':< .4'T THIS DATE A CONTRACT WITH 'THE:.HEREIN NAMED CON- REIMBURSEMENT F'EE
TR"' TOR ,O CON N'ECG THF' ABOVE INSCRIBED EXISTING DWELLING APPROVALSTO THE PUB IC &EY,f"'R1 DATE NSPEC'TOR'5 SIGNATURE
SIGNED nits---- SAY Off` ,_--------��---- --- --- ...--- _
OWNER ORNEW HOUSE SEWER i
OWNERS AGENT..=^�' = Ji .__ .-- CONNECT ADDITI.'7tdAL
—.._ BU ILDING OR WORMADD RES$—
.
SFP71C IANK,SEEP PIT(S)
I HZREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR D.RAINFIE_D I
AND STATE THAT T'HE ABOVE. IS CORRECT AND AGREE TO COMPLY � -
WITH AL.L COUNTY ORDINANCES AND STATE LAWS REGUL.AT'i NG
'i..UMBING AND ",EYY ERS. - CESSPOOL L DR"VWE'LL 0
I HEREBY CERTIFY THAT [ AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR
LICENSED AS REQUIRED BY
IL
ANGLES COUNTY AND STATE OF _NAGE DISPOSAL SYSTEM 1.
CALIF RNIA OR.THAT I AM THE LEGAL OWNER OF AND INTEND TO —.. -- _.--
R ESiDE IN THE .ABOVE 'RIBPD RESIDENTIAL PRO $:R DISCONt4ECT PLUG AND
� ABANDON HOUSE'SEWER
SIGNATURE R> __—
OF PERM.ITTE;E__ _ ,di,7�y'✓ �"' 'A
BACKFILL 5L'r'TIL �AN}CS
-"`-----"— � SEEP,Pn(S) 0 CESSPOOLS
ALIDATION_ ROBERT A. WOOD
f SUPFRi;ISING MECHANICAL ENGINEERR
M.0. �CASN `..�
f.
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7GA642D APPLICATION FOR PERMIT
7PA.84�
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING :s
TOFFY A. L,ANIISIE, County Engineer ADDRESS "s
WILLIAiih. A. JENSEN, Sup't of Building � k�
LOC TY
NEAREST
OI? LICAiT TO 'IIs INcRcss s7
CRt/LpT VP7'l .07 NO _'
ESCp �, 'v err, F {:� OWNER✓' x _ .+� C''� Y'P
., ,fy,� MAIL
BLOCK 7RA.0 f 1' fr d ,lr�° ADDRESS
NO. OF II DUS.
SITE OF ._OT NOW ON LOT CITY TEL. NO.. Ae' 'may `
USE OF f
BUILDINGS '�'"" DISTRICT NO. GROUP MAF' PROCESSED BY
�.K PG
IVCON" A TOR_._ k.+ �✓r.. � L P
,.��'.
ADOR ,s ,.,j ". ---. '--_ —. ---,---- - '" CONNECTION DATA -- --
- S
CITY - �' TEL NO. gG�o �✓ `.i _ � .. w—�✓^.TIflN DEPTH
STATE. MANHOLE REFERENCE
REGISTRATION NO _- { COUNTY
NO. (DESCRIPTION OF WORK FEE -- - --- -�-- 8- LENGTH-- -- -- — CL
- ,.-_ -TY'P�OF CON NEC;Yi.k F FROM
HOL ESEd ER G 01`!A{ECriNU 70 - - __� -._ Y. CU P.L M.L.TO P.L.
PUBLICSEWER @ $y 00 � � -- � a!"r� �`_d _ O
FI tYr TA NK,SEEE PAGf'i T O'i { P./ NO
I
PITS AND/OR DRAINFIELD @ 5v.00 CO IMP NO_ JOB NO-_
F 7 1 F S£W P CGNNE('TINC YO I TRUNK PERMIT NO ROAD PrRMiT NO. a,l c/
PRIVATE DOSAL SY T .NT
I C:ONNEG.T hODiTiC1N A7. RC.DG OR � I AFPIDA V!T w C!MEx 6.A5 eMeN4 S2LCOft Q. fNSTR.NO. DATE
WORK TO HOUSE SEWER $5.00 � � � LLJ�
R _ DD -_..IELD- -
OVERFLOW SF_E?A:C=Pt7. RAlNFI -. .._--_.-._..L
ERTN..CESSPOOL_,DRYWELL,MANHOLE $5.00 z
.. ..—._—__ HWY.OR ST-WIDENING
ALTER ..,REPAIR OR ABANDON Housx:' - - --�—
& OR DISPOSAL
ENCROACHMENT
PERM?'T'90
s F-.—____� ....— .. INDUSTRIAL V
WA TE APFROb AL ✓ _
CHARGES
OVVNEWS PERMIT $1
AUTHORIZATION TOTAL FEE COtdNE.:730N CHARGE FEE'
I HAVE AT THIS DATE A CONTRACT WITH THE HERE[N NAMED CON- REIMBURSEMENT FEE
TRA.CTOR 7'O' CC NNECI THE ABOVE DESCRIBED EXi.STING D1iIEL.,'...ENG: L
TO 7HI. FU B.Lir EWER. AS3'�9..lYAiw7 _I DATE. i 3NSPECTOR'S SGNAY'URE
SIGNED THIS——DAY OF,__ _ _-- -- ---_-- ---�-- - - .--- --..
- 04VN_ftOR ��� � •' NEWHOUSE SEWER
Q'Je'N-ftS.AGENT
,� -- -- -'--- CONNECT ADDITIONAL
ALkDPF'4.S-.__._.. BUILDING OR WORDS
s;~P71c TANK,SEEP,PIT(S)
I FEREBY AC:KNOWLECt.E THAT I HAVE. READ i-1-115 Api'LI._AT?ON AND/OR GRAINFIELD
AFib TATE THAT 'THE ABOVE IS CO R RECT ANO AGREE TO COMPLY ._ _ _--------- _ _.—�— --.--
W�iTH 1. COJNY\' OR64NdA NOES AND STATE LAW`.; REGULATING ;
PLUMBING AND FWER'S CESSPOOLj DRYW ELL 0
3 HEREBY CERTIFY THAT F AM PROPERLY REGISTERED AND/OR ALTER',REPAIR,'Rt.W ER DR �--�
LiCENSE D AS RLQUIRErO BY LOS ANGLES f OUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM
CALIFORNIA OR THAT I AM TIIE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND I
REST D£ IN THE ABOV- D � CR15ED RESIDENT AL PROPERTY" ARAN DON F OUSESEWER
SIGNATURE
PPE M BACKFILL SEPTIC TANKSOF LRMt7T1EE _ __ _ - _ SEEP,PIT(S) CESSPOOLS L�
VALIDATIQ ROBERT A. WOOD
SUPERVISING MECHANICAL ENGINEER
CK, M.O. C A�3Jt-s'`
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s�F,. P�F,+ CJ
J �S
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F80810-6
6A5420 APPLICATION OR' PERMIT o
13
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL
DtPA.RTMENT OF COUNTY 'ENGINEER
BUILDING AND SAFETY DIVISION RU II_D,NG
JOHN A. LAMBIE, County Engineer oeR s e'_11: -
WILLIAM A. JENSEN, Supt of Building --
LOC-ALT
N'AREST �t
FOR APPLICANT TO FILL IN ROSS ST -- � J � — --
f_F G AL
DESCR P i^rN OT NO __— _ _...__- _OWNER_.
M11L r`
'BLOCK TRACT ,>'' i A'DRESS
NO. OF Ua G S.
SIZE OF LOT NOW oN _ clTw r �. ✓d t_ EL. N0. _t >
USE OF -._. ,,+ ✓ -- —. TND, GROUP . ' R,p. SED B13K PGY
BJILUINGs_ _ _
DISTRICT MAP P "£5
CO NT RA r70jA�.
4- d
ADDRESS fr' CNNECTIO*I ATA
. ., � -__
'' ✓' STATION ( DEPTH
CITY /TEL
r r —yp-
✓J I I-' P' E MANHOLE REFERENCE 1�pjj,�
REGISTRATION {O_.—. .�, q/'. -.- r _ LJ COUNTY Y Y � _—LOWER
N0 DESCRIPTION OF WORK FEE :TYPE OF CONNECTION O --- - --
.,. ION LENGTH FIR
,�-r H'SU SE 5 WER CONN EC:TfNG TO I _�� Y y'- CURB P.1.:, M.L_TO T-'L
PUBLIC SEWER $ .0L) 45
-- s _ ___�. _ _—_. P.0
.NO.
Sr'_PTFC TANK,SE:ER'kdE PiT OR -
P.TS AND/ORDRAINF"EL.D @ $10.00 CO . IMP.FJ O._
FiO SEE ,NER c CONNECTING TCCt
RUN:.P RA41Y NO ROAD.PERMIT P{O
PRIVATE DISPOSAL SYS :,M $3,00 _DATE -
CONNEC' L DD TIGNABLDG r OR AFFIDAVIT WA!'1FF.ASEMFNT RECORD.INNS T'R NO,
R t°^^
WORK TO HOJSE SEWER @ $3.00 T
OVERFLOW SEEPAGE PIT,DRAINFIELD
!EYTIV,.CES POOL.GRYWELL,MANHO.LE @ $S.GO
HW"Y. OR ST.WIDENING
4LTER,R PA R OR ABANDON HOUSE
1 WE:ft Ort DISPOSAL SYSTEM $3.00 STATE ENCROACH MENT
PERMIT NO.
INDUSTRIAL
u 111ASTE APPROVAL
OWNER'S CaEl'a7 P�,RIiRIT $ 00
CHARGES
"----"" — _L_ '�--"-- r— N? ECTI n CHARGEFEE
AUTHORIZATION TOTAL FEE � '
'I HAVE AT T'HiS DATE A CONTRACT WITH THE HEREIN N,MED CON- R _M,B 'RSEMENT FEE
TRACTOR TCJ CO NNE,Y THE ABOVE DESCRIBED EXISTING DWELLING -- --R--------------'—_-"'—`—'T --' ------
YO THE PU BLfC SEWER. APPROVALS DATE IN PEC.TGI R'S SIGNATURE
SIGNED THIS-._ DAY OF—_,'___ t
OWNER OR ,r �,- C NEW HOU ' SEWER
OWNERS AGEPdT_T___ —
CONNECT ADDITIONAL
BUILDING OR WORK
ADt7RES._—'_. —_ _ __. - -.. � —_-- —._—_. _____.__ _-- 1--_�____—__--.__-_.
SEPTIC TANK,SEEP.PIT(9)
I HEREBY ACKNOWLEDGE THAT i HAVE REAL) THIS APPLICATION i I I
Asti D:OR UR A!C�F!ELD
.AND STATE THAT THE ABOVE IS CORRECT AND AGREE 7U COMPLY
WITH ALL Cl,Jt6 Y ORDINA N:_ES AP.D STAT:: LAWS REGULATING I. I
FLU M8iNG ANf SE1�V E.Rb: CESSPOOL � DP.YWELL ❑_._
1 HEREBY 'CE!TIFY THAT 1 AM PROPERLv REGIS FRED ANC/OR ALT'.R R PAIR.SEWER OR
I
LICENSED S' RE 34+-.RED 1\ LOS ANQ)LES COUNTY AND STATE OF EWAGE L SPOSa>_SYSTEM
CALIFJRN44� OR Ia+AT ! A.M. THE OWNER-OF AND INTEND TO DISCONNECT PLUG ANC
RESIDE * T'H ,(BOVE ULTf:.RI Bo,.f gE57CEN�I'P-L. P OPERYS ABANDON HOUSE SEWER
S!GNAT U� -.,:..c,_ y"•`" r -, a
OF `4-->n. .!i. .� �' � Z- :...i BA.�It P's4L SEPTIC APaKS �]
PERMITTEE_ _ — .__! �__ _ __— —,;�^"
SEEP,PIT(.S, CESuPOOLS [j!
£ VALIDATION ROBERT A. WOOD
i` SUPERVISING. MECHAN:CAL ENGINEER
CK. M.O CASH