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Home My Public Portal About10533 OLIVE ST_Sewer__ y` .� _ j "'rc.��.- i�., �`• � 1 E 6420 63 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER--SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING ANIS SAFETY DIVISION suit DINGI JOHN A. LAMBIE, County Engineer ADUREs WILLIAM A. JENSEN. SuP't of Building � NaA'L T c'.ROSS ST � 5 F+OR APPLICANT TO FILL IN _-_- LEGAL DE5 GRIP O.N _ LC,-N 7 /J""_' i ,,l!Yt - OWNER p MAIL ADDRESS NO. OF SLOGS. r SIZE OF LOT NOW ON LO'T' C CITY TEL. NO, DISTRICT NO, GROUP MAP PROCESSED BY BUiLDING ° _-- -- - — -- _ BK PG L CONTRACTOR - ADDRESS' ' CONNECTION DATA STATION "J DEPTH y CIT'f t - STATE MANHOLE REFERENCE s REGISTRAI _)N NO P fF. c .. COUNTY - NC. DESCRIPTION OF WORK FEE TYPE PFLCONNECTION. 4ENGTH.FROM HOUSE SEWER CONNECTING TO Y 1% I ':C t�1RB P,L. M.L TO P.L. ! -- PUBL,C SEWER @ ^4;;:00 � �--:-:'� --_' _ _.- _ .__ .-_ _` s.,'. P.C.NO. t P G TA t SLEPA{E PIT OR / ' JOB NO. CO. IMP NO. C �-{' 4 I PI,:.AND/OR OR nRAINFIELD @ $1C;00 iCUTE SOWER CCNNECTING T^ TRUNK PERMIT NO. ROAD PERMIT �RIVA TE[ I F'CSAL SYSTEM t� $3..00 �:.-•^- � � ___T .... .. -__---_.—____ C`.N...JT h DIT:ONAL BLDG.OR I AFFIDAVIT N'.4 � !V tR ¢ASP+ 'EMENT :RECORD. I57R M.O. WORK TO HOJS` SEWER —�Ox E4�lCN SEEPA E PIT,DRAINFIELD ._. .„ 1 _ - __.--_--..-_._.e_..-_-- ult EXTN,CE SPQOL.,ORYWFLL,MkNHOLr @ $9,00 ALTER.RLP°+ R OR ABANDON HOUS£. - ,r SCW ER6R DISPOSAL SYS EM $.3.00 -rT-. k_ -:--�= -- z. _._.:-__-._- �(' STATQ�NCROACHM ENT PERMIT NO. - INDUSTRIAL WASTE APPROVAL. -"(--- CHARGES OWNS PERMIT-----— $I --- zi oo --- --- ----- —_ ,.– — -— —1--;--- CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE 1 h ab _--—'—'--____-- ---`-----_—_----- __ HEREIN NAMED CON. REIMBURSE'MFNT FEE 'I HAVE AT T1;15 DATE ACONTRACT 1V iTtt THE �FiMBVREMIENT FEE TO 0073 NECT THE ABOVE DESCRIBED EX.1STING DWELLING q—.--p_�_—..—._—____.-- TO THE PUBLIC FEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS--DAY OWNER OR ,.'-+i NEW HOUSE SEWER ' OW NER5 AGENT._ --_—_ "— ------ -- C9NN EC'f ADDiT16NAL BUI RK ^_ ___._ —_----_— _--__ SEFTI TAN h.SFOE P,PIT(9p- !� ADDRE55� _ _ - _ _ 1 HFREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANG/Olt D,RAINFIELO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPL'i _-------�------------- WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SFW ERS. CESSPOOL ❑ D.RYWELL HEREBY C.ERTI=Y THAT AM. PROPERLY REGISTERED AND/OR AL'TE R,REPAIR,SEWER OR T NSED AS RrQUIRED BY'LOS A14GLES COU NTY AND STATE OF SEWAGE DISPOSALSYSTEM CAL;FC RWA OR THAT i AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PIU ANP ! RESIDE iN, THE ABOVE, D RE:i�DE N;T IAL PROPERTY. ABANDON HOUSESEWER r _ BACKFILL. E 5 --..- SIGNATURE " 'PTf. TANKS — OF PERMITTEE _ �, .,6'.:= uCESSPOOLS �! SEEP,.PiT(S). VALIDATION CK. � M.O. CASH ROBERT A. 'WOOL? SUPERVISING MECHANICAL ENGINEER ; Lj I oiz,808 10-63 6A6020 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER NG -ES BUILDING AND SAFETY DIVISION r,D r JOHN A. LAMBlE, County Engineer WILLIAM A. JENSEN, Sup't of Building -CAL TY LO NEARES7 A T To LL R CROSS ST. FOR APPLICANT TO FILL IN 0 FS C R F-1 1 ON LOT N-J,� j 4 OWNER - -- MAII BLOCK TRACT ADDRESS NO OF BLDG S. SIZE Ol LOT NOW ON LOT CITY TEL. NO. USE op, BUILDINGS DISTRICT NO GROUPl MAP PROCESS BY BK PG CONTRACTOR ADDRESS CONNECTION DATA 4 T*lLNTE()NO- Y V ATION ✓ DEPTH � X—L PER STATEMANHOLE ElrlIENCE REGISTRATION-NO COUNTY NO.. 36RIPTION_0�z WORK FEE TYPE OF CONNECTION LENGTH PROM -T--- _-� I I HOUSE SEWER CONNECTING TO -Yi P.L. M.L.TO P.L PUE'AC SEWER $5.00 P.C,NO. 0 SEEPAGE P17 OR PIT$AND/GR DRAINFIELD $fD.OU 0. 1 W,P, -4 0, joe hlo HOUSE SEWER CONN-ECTIN—G TO PKIVATE DISPOSAL SYSTEM $3.00 T TRUNK PERMINO. ROAD PERMITO N —/- -OR---- AFFIDAVIT T- 0 CON _CT ADDITIONAL.BLZF�� WAIVE.k .'EASE RECORD. INSTR.NODATE . - --- WORK TO HOUSE SEWER @ $3,00 0 ERrL- v ul ___,__E.TN,CESSPOOL.DRYWELL.MANHOLE@ $1.5,00 ALT Hwy, ST.Wil�� I ER,REPAIR OR ABANDON HOUSE N5 w SEWER OR DISPOSAI SY;3TEM 4, $3 00 z AT, �!��Ck6 A C H M ENT T PERMIT IA WASTE APPROVAL CHARGES OWNER'S PERMIT � CONNECTION CHARGE FEE AUTHORIZAT ON TOTAL FEE .1 HAVE AT THIS DATE A, CONTRA CT' WITH -I-HE HFPtElN NAMED CON- RE IMBURSEM-F NT-FEE TRA ONNECT THE ABOVE DESCRIBED EXISTING DWEi-LItLG TOC'OR "0 C APPROVALS -T—.-A-T, I'NSPFCTOR'SCIGNATURE THF PUBLIC SFWE-P. SiGNEE) THIS OWNER OR OWNERS ADz�,Nr-_rs�l- F'OU SF�SEW'ER ----------- CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK;SEEP,PIT(5) IHER EBY ACKNOWLEDGE THAT I HAVE READ THJB APPLICATION AND"OR DRAiNFIELD AND H ST1 E TA"r THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RFGULATING PLUMBING AND SEWERS, CESSPOOL [I DRYWELL HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR EI LICENSED AS REQUrREBY LOS ANGLES COUNTY AND STATE OF' SEWAGE DISPOSAL SYSTEM CALIFORNIA. OR THAT I THE LEGAL OWNER OF, AND INTEND 10 DISCONNECT PLUG AND R ES!Dr IN, THE ABOVE t)ESCRIBEG RE- 'TIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE ------ �. "",j- 2ACKFiLL SEPTIC TANKS OF PErMITTFE "N SEEP PIT(Sl ❑ CESSPOOLS VALIDATION ROBERT A. WOOD /CK" M.J. CASH SUPERVISiNG tAECHANICAL ENGINEER D s k :E80& -63 APPLICATION FOR PERMIT pA6A242D COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BuluolNG JOHN A. LAMBIE, County Engineer ADORess WILLIAM A. JENSEN, Supt of Building r �' LOCAL TY N ARFCT CROSS ST _— FOR APPLICANT TO FILL IN _ LEGP L ..� - DESCRI PION OT NO ' OWNER MAIL BLOCK lR'Ci' ADDRESS .� NO. OF SLOGS, y +' S?XO LOT/;Ay CITY TEL. NO. NOW ON LOT E. -. u. E OF .' BMDiNGS DISTRICT NO.. GROUP MAP PROCESSED BY -- Bit PG CONTRA TOP. CONNECTION DATA ADDRESS STATION DEPTH CITY_ ;J .K9 TEL. NO_. .`�'—sr-L-r=�€ ❑ STATE -- C' f' /y x MANHOLE REFERENCE -' REGISTRATION NO yIDf �-_� �`�.+� ❑ COUNTY LOWER. _-_- _ ,fit NO. DESCRIPTION OF WORK FEE TYPE 4yh CON,NEC.TION LENGTH FROM -- - HOUS S WCfr CONN ^:TING TO �— Y 2CIMB P L. M.L.TO R.L. �. -- UC;LIC SEWER $ OO 9 r4,I , S PTI TA NK,.S EFPA OE PIT OR I O IMP NO - ..108 fdO }„{^ ITS ANO/OR CRAI`.F1 ELD'. @ S10..00 _ _____—---.---......__--_______.—. _�_J. HOUSE$:£W ER CqN NECTING70 TRUNK PERMIT NO, ROAD PERMIT.NO. PR VATE DISPO.AL SYSTEM $3.00 ---r _ — __._—____-- _—_.._ _ C CN NECT AUDITiONAL BLDG. OR AFF1DAVf'T —WAtY€R EASEM:hT� RY:GO Ra< INSYR NO. ! DA7E WORK TO HOUSE SEWER @ $3.00 I --�7i ERF LOW S- EPAGE PIT DRAINFtELD EXTN CESSPOOL,DRYWELL,MANHOLE@ $5,00 HWY.OR 51,WIDENING ALTER,i3L,P ':}.ETK AS/i-IVODN HO:JSE -' - . - SEWER OR k�tSi''35AL SY 5:3.-c_M_ @..$3'00 _—_._—_ STATE ENCROACHMENT- I PERMIT NO. INDUSTRIAL WASTE APPROVAL A I _. _..RMCHARGES 2; 00 ------ --- ®WNR" PE ------ -. -IT IT .. , CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE __ -'-- ---- -- -I HAVE AT THIS DATE A CONTRACT WITH THE.HEREIN NAMED~CON- REIMBURSEMENT�y_ppgqtF'EE CON- TRACT TG CONN ECT THE ABOVE DESCRIBED. EXISTING DWELLING — APPRV YAL� DATE I IN PE-CT IR S SIGNAY'URG TO THE Psi BLIC SEWER. SIGNED THIS_ DAY OF��___—__— 43_�. . ----------- ------ j OWNER OR NEW HOUSE SEWER I _ OWNERS AGENT_____..—___... ___— ._.___-_.__ _. CONNECT ADDITIONAL BUILDING OR WORK ADDRESS.__._._ __-- -__..� _.__ - _ .-___ _—__ _.__. ____..r__ __ ._ _�___ SEPTIC TANK.SEEP.PIT(S) I - I HF_REBY AC.Y..NOWI-EOGE THAT I HAVEE READ THIS APPLICATION ANDi OR DRAINFIFLD ANU STATE THAT THE ABOVEi'S CORRECT AND AGREE TO COMPLY -.._ '.VITH ALi_ CO'INTV ORDINANCES AND STATE. LAWS REGULATING PI UMBINC, AND SEW ERS. CESSPOOL-_❑ DRYW ELL ❑ -.�__-.__,-_,� , HEREBY CERTIFY THAT . AM PROPERLY REGISTERED ANO/OR ALTER,REPAIR,SEWER OR T LI CENSE.D AS REQUIRED BY ILOS 5<NGL.ES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE EGA OWNER OFy�ANO INTEND TO pI.,CONNECY PLJC AND RESIDE IN, THE AHO VVDES,.,AIIBE�D RESIDI=N71Adr"�P��OPERTY. ABANDON HOUSE SEWER OF F'ERMii'TE yyLi SiCNATURE �Lr. B ACKFILL SEP'fiC TANKS g _.L EEP.PIT(s) [_] CESS PODL5 ❑� VALIDATIONROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER ��. f' 0