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HomeMy Public PortalAbout10410 OLIVE ST_Sewer__ E608 31152. 11 7KA6420 APPLICATION FOR PERMIT I, � COUNTY CSE LOS ANGELES SEWER—SEWAGE DISPOSAL dDEPARTMENT QE COUNTY ENGINEER BUILDING AND SAFETY DIVISION 3u:L�INc � ff JOHN i. LAMBIE, County En :se: x ADD?Ess_ _ _ LOCALITY NE AoE I FOR APPLICANT TO FILL IN Dr:s rN K.I0rt LO'%'NO. ;' x ] awniEfx BLOCK TRACT ,r ;r ADDR _c„ NO. OF BLDr,3S. 5;7E. 7'r L.JT' NW cl.N LOT CITY TEL- NO. HL:iLDIFv..S DISTRICT N4. GROUP MAP .FRO L'ESS6L%;.5:7 Y' BFC PG 3 vt CONNECTION- AODPE4 DATA a CITY(�' , �:7'f L F1 cJ. "�' � :ION i 6P TH- - �- f �.� STATE "ANHOLE R6FERFN A r•2 9?SGIST-2ATlON NO _ `� i' r� OL'NTY `- N0. DESf RIFT lOm F WORK FEE _ _ TYPF Or C:OYV,,F.yyd EC_r���?�J LENGTH FR�TPfd- 1q HOUSr SEWER CON ECI IN O -�_ .r_. '-i �`.__<.I.,kh�f_'�;-y' P.L.. M .TO I PUBLIC SEWER (02 _ __ _- _ ..- 1 SEPrIG T<-NK ..,€ES'.AGEP l7 O,r - — o ....' P L. NO �.1 i M .'I O- PITS �.s J c�a N O. IT .ANON[? D.APNF'IEc.D @ $9u.t5() _ - .� ,z .� ___ -- {OUSE: 5�4.,R CCNNECTIii PRIVATE DISPOSAL,SYSTEM {} '.qry TRUNK PLF MIT 7d U. ROAD S'EPM17 PJ f1. ��� �3 kti ___.__ CJFIW cC.T D.DI i"i PAL 6t.:YtC.09i _.-- AFF-I LTAY T lY:9tYPk�EnS€�S[hT RLC,LRU,fFtStii R]. WORK TO#iOUSE SEWER rp-" - � $3.GG , CVERrLON EEP?:G[!°CST."Si F•},NF'iELD I fX N..G _';POOI_DRYW`ELL,MANHvOLE C $.5:00 AL7F ft -_ -ON _HUJ4E_-..-_ HINY..OR ST..WirE'N INC :R,,RF FAIR OR ASPNPy_ SEWER OR OiSPO A .SYSTEM $3.00 STATE EN..R£:ACHMENT' f PERM!r NO � ON-ME-H CHARGES 'S PERMIT 2" 00 CONNECTION'CHARGE:FEE TOTAL FEE Y, AUTHORIZATION 'REI Rd6;'RSEMENT FETE 9 NAVE_ Al" l':t i..5 ©ATC A v:C7i+t"T;2A•CT WITH THE HEREIN NAMED CON'_ 7 RA.C.TOR 7'0 f.0"viSECT THE ABOVE DESCRIBED :E%:ISTING LOWEL{..I.N�;. APPROVALS _y_�_{p TO,THE PUBL9C SEWER. ;r1Y`.E"R�d©AL DACE INSPECTOR'S SIGNATURE SIGNED THIS - _OAY C'iFfS— OWNER OFA n[FW SEYnER ,I OWN-:RS AG,ENT_ CONNECT .ADDI` ONAL OH W�RIII ADt'Rk SS -_ _. _.__. ___ __- �_-._.-__ .__._ . _.__. - �__.. - _- ___ _Pi-iC I,4 PV K.SEEP,6'1Ti=•r 'HF' t R,E`1.Y t-_KN.,0 LED0E_ THAI � HAVE READ THIS APPLICATION AICD P p A 0 RA t N FNEIL 0 AND 5'T ATE. THAT THE, ABOVE IS CORRECT AND AGREE TO COMPLY Wv Tu A COUNTY OROINANI'LS AMD. STATE LAWS REGUL.A`NNG Yf Uui' f ; AND IEWENS. CESSPOOL ❑ DRY4Y ELL 9 pEREBY CERTIFY THAT I AM PROPER'-Y REu FRE AND/OR, Ar_.TER REPAIR.S WER OR LICIE LO AS REGlu I.?RED BY L.OS ANGLES C.OUN"Y AND STATE OF SEWAGE.DISPOSALSYSTEM ' C4L CRti.H. OR 7 AT f AM ii. LE OWtdE CF AND INTE Nn 70 I.CONNECT P1 C f D RESiD F!, TNP rFC?O"v` C7E t .SrO[t q.L. PCO a. i'Y. _ i AD APvpON N'7US U Y StG NATllf2>t. .� �' //$$ e KFIL r'T' TA. S - O� PERIE t'T'TEE -_�y.•,0 �.- .,®'".'+ .�.r "P. -- -. _ .."P. ..'.7(S) is i CESSPOOLS ---VALIDATION ROBERT A. 4h'OOD SUPERVISiN.e_, MECHANICAL ENGINEER L � k!,fJ. GASP °a APPLICATION FOR PERMIT ;cAaaz� COUNTY OF LOS ANGLES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION rADDRE5.5 UILDING JOHN A. LAMHIE, County Engineer WILLIAM A. JENSEN, Sup't of BuildingOCALIlY EA REST FOR .APPLICANT TO FILL IN CROSS ST. � DESCRIPTIO LOT NO. -- "r _ OWNER , MAIL .7_.q 7.}:t c"r Y � .:% I ADDRESS NO OF EILDGS. SIZE OF L07 NOW CN LOTC(T'Y - FEL. NO. LIFE 0" - --'------- BUiLDING.S DISTRICT NO. GROUP MAP PROCESSED BY _ B ' PC CONTRACTOR .:t' AOLDRESs '... i ' ' + � ' ---- f .CONNECTION.DATA - ---- ---- ,r ' TION 1` _ L_ G>A'NTY 'MANHOLE REFE N 0 R N J, .� �- �+ f "URP�R rt F'G ST Rk UN ° i ',r P_O. L' SCRIPT'ION �F WORK F GE TYPE OF CONNECTION ,'~ L .. ENG'IN FR 7, iCONNECTING r _.-_ i OJS'. Eh Eft CONN CTING .O F Y._ > C.yi'�i8 F L M.L.TO P: . .v FU&LIC Fs S�' SEWER $.Q6 r- -._ PT 1�;TAhh _SEL P. AGE P- __I7 O? .� / F.C.NO. NO JOB NO. I 5 AND,CH SRA tvF Ei.0 @ § O.G ___CO. IMP n , HU'SF.:6t vl+FR.:ONNECTIN>TO TRUNK ERM IT NO. ROAD PERMIT Nd. t PR ATE DISPOSAL SYSTEM. S3.00 C K AD011 SEEF°Y A?SEF°3LUr'.OR I AF'FiOAV 7 w:a VLR EAS EAe YORRK Ilei RECORD,iN.7R.NO. �-DATE f£ 'I J tiJU5E � °59.00 I i � - I OVERFLOW SEEPAGE PIT.DNA NFtELU C`CTN,v S ODI.rRY WE1..L AA NFtOlE @ _..-. -_._..___ i O T R.eR OR A 3.v -q,N Y0U`SE -- ST.WIDENING _...__ � AA "ATE• E Nc RO(A F Pd N7 PERMIT NO. WASTE AP91f�tle°AL -` OWNER'S ° -F CHARGES LJW1iI�°r7 I?.�.3It1�IIT � —_ _._.— __ — _..__ —_ _.__.. CONNECTION CHARGE FEE AUTHORIZATION TGTAL FI E 1 HAVE AT THIS DATE: A CONTRACT WITS-E THF. HEREIN NAMED CO N- REIMBURSEMENT FEETRACTOR TO t-ON NECT THE ABOVE DESCRIBED EXISTING OWELI-I.NG _y.__. '-i0 fHE. 6'UBLIC SEWER. APPROVALS I DATE it I NSPECTORiS SIGNATURE SIGNED H;S, _DAY OF __. t9_ ------...--- -------- -----�r-- ----------- -__—..----._.- - OWNER OP. NEW HOUSE SEWERCONNECT I ADDITIONAL ADDRESS .___ B IJ IL DI dG ON WORK I , } kE.BY A KN'bWLLQQE THAT I HAVE R_PO °`H1.� APPLI;ATIt7N AND `' OR DRAINFILD AND ,aTATE' THAT -EHE ABOVE: IS CORRECT AND AGREE 'iO COMPLY WiJH ALL COUNTYORDINANCES AND STATE LAWS REGULATING, _ PLUMBING AND SEW EP CESSPOOL DRYWELL I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDr OR AL`T'ER REPAIR,SEWER CR CENSE'.^. AS R.EOU;RED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM ••^CALIFORNIA CSR THAT I AM HE LEGAL ©WNE jOF'. AND,V4'-;r?qD TO DISCO'4 NECT F'L�1G AN F2ES-IDE IN, it A. O'tt� ] a�#�1�I3EYTy}3E1REF J/AL PYR'LfjY 1'tf ., j ABANDON i')ON HOIJnE SEWED! SIUI ATUHc. -..._ ___ - - OF PERMIT"TE 'F"( _.,. _� '_ �'+J BA4KF ILL SEPTA TANKS SEEP,PIT(S) C7 c.ESSPOOLS Q VALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENGINEER