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Home My Public Portal About10532 OLIVE ST_Sewer__ :&808'a-So APPLICATION FO PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN JL LAMIE, County Engineer ADDRESS c,4J, CAWATT D. GRIFFIN, Supt of Building LOCALITY v NEAREST FOR APPLICANT TO FILL IN CROSS ST, LEGAL DESCRIPTION LOT NO. OWNER -/-I- BLOCKTRACT MAIL NO.OF BLOADDRESS CS. SIZE OF LOT NOW ON LOT CITY-pl- ` EL. NO. USE OF' BUILDINGS Res. DISTRICT NO. GROUP MAP PROCESSE,D BY BK PG j CONTRACTOR Able, Constr. 5, ADDRESS 225 W Bryant CONNECTION DATA CITY El Monte TEL.NO. Lti 8-6565 STATION DEPTH lbb-579 fj STATE MANHOLE REFERENCE UPPER REGISTRATION NO. COUNTY _.EO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER C-) $3.00 TYPE Or CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR CURB P,I- M.L. PITS AND/OR DRAiNFIELD $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL. DRYWELL Ca 52.010 HOUSE SEWER C014NECTING TOP.C.NO. DISPOSAL SYSTEM S-1.00 Co.IMP.NO. za i —_LRIVATE TE DIDI JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT 40. ROAD PERMIT NO. WORK TO HOUSE SEWER C $1.00 1 ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ S1.00 ERMIT NO. INDUSTRIAL WASTE APPROVAL A c CHARGES OWNER'S PERMIT CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE z REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE JINSPECTOR-S SIGNATURE TO THE PUBLIC SEWER. SIGNED THISDAYOF—I 9— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT' BUILDING OR WORK ADDRESS. SEPTIC TANK,SEEP.PIT($) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY cEsspom- El DRYWELL El WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING —A-Li:ER—,REPAIRL SEWER OR PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 4,"AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY, •(OS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT 1 4- 'THE LEGAL ow.NEk� OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTIAL PROPERTY. 4 BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP PIT($) ❑ CESSPOOLS F1 OF PERMITTEE a 4:75, ,X-- ry 'VALIDATION ROBERT A. WOOD CK. At,0. CASH SUPERVISING MECHANICAL ENGINEER 4 71— "if,2b APPL4'10:ON FOR kRMIT ,Esaa'a-�e COUNTY OF LOS ANGELES SEWER--SEWAGE DISPOSAL 5aEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING c � JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Sup t of Building LOCALITY v./t.-+ l NEARCST FOR APPLICANT TO FILL IN CRDs LEGAL r DESCRIPTION LOT NO. _OWNERMAIL BLOCK y TRACT ADDRESS 'l - �: /. NO,OF BLDGS. J SIZE OF LOT _ NOW ON LOT CITY f TEL. NO. USE OFp�$. BUILDINGS Res. �t DISTRICT NO.[GROUP TRAP � „PR ESSED BY CONTRACTOR Able �onstr. �F� ��" ,z 'PG �Y a ADDRESS 225 Bryant Rd. 4 CONNECTION DATA CITY Fl Monte TEL.N0,4j. 8-656,5 STATION � g.w t✓� DEPTH p �7 STATE MANHOLE REFERENCE UPPER REGJSTRATION N0, t ° COUNTY �. I?" rr « --?L Vy E`R NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 — SEPTIC TANK,SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM ITS AND/OR DRAINFIELD tl« $3.00 CURB P.L. M.L,'TO P.L. OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL.DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO - ,r - s"99r�,, P.C.NO. PRIVATE DISPOSAL SYSTEM 1,00 CO.IMP, NO.. - , °.1 JOB N0, WORK CONNECT H USADDITIONALSEWEBLDG.OR @ gY;QO TRUNK PERMIT NO. ROAD PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM C $1.00 PERMIT NO. INDUSTRIAL WASTE,APPROVAL CHARGES OWNER'S PERMIT Fa 2 QO CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE " L, REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE .HEREIN NAMED CON.- - TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE I INSP'ECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19— NEW HOUSE SEWER OWNER OR Lin CONNECT ADDITIONAL OWNERS AGENBUILDING OR WORK SEPTIC SEPTIC TANK,SEEP.PIT(S) "— AND/OR DRA114FIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATF THAT THC ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ _! WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR ( i PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM j I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR LICENSED AS R£QUIREG BY/LOS ANGELES-1COUNTY AND STATE. OF DISCONNECT PLUG AND CALIFORNIA OR THAT 1 T,t THE LEGAL'PWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTIAL PROPERTY 4 x BACKFILL SEPTIC TANKS ❑ SIGNATURE PIT(S) ❑ CFSS'OOLS _ OF PERMITTEE_ r: a _ { �Y r DF / VALIDATION ROBERT A. WOOD cx. X. GASB SUPERVISING MdGHAJVICAI ENGINEER