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HomeMy Public PortalAbout10543 OLIVE ST_Sewer__ Z- :E808 10-63 6A8420 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DlSt�OSAL BUILDING AND SAFETY DIVISION 10FIN A. LAMBIE, County Engineer. '-4 WILLIAM A. JENSEN, Supt of Buildvvving LOCAL:TY fcS FOR APPLICANT TO FILL IN '.ROS� T. DESCRIPTION LOT NO. OWNER MAIL rJ }-.,iADDRESS BLOCK 7 PACT NO. OF BLDGS. SIZE O. LOT N(),W_ON_LOT CITY TEL. -NO. USE OF or-ESSED BY BUILDINGS DISTRICT NO. OUT, MAP PR a PG COTTRACT, A" ADDRESS - CONNECTION DATA 5. STATY6N DEPTH /T -ciry DISTRICT kf TATE MANHOLE REFERENCE STRATTON NC COUNTY NO, DESCRIPTION OF WORK FEE E LENGTH FROM '.�YPE OFOCON ON -------p7A. M.L.TO PAZ HOUSE.SEWER CONNECTING TO 0. Y PUBLIC $5 Do _SEWER ....... ------- F,C.NO. SEF;YIr TANK,SFFPAGE FIT OR CO, IMP.NO. JOB NO. 0 P�TS ANC)"OR DRAiNFIELD 510.00 L) H67 - -'R CON14ECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. T SEWf PRIVA IE O�6 TIONAL BLDG.OR RECORD.INSTY.NO. DATE 0 CONNECT A06 I AFFIDAVIT W_ I I WORK TO HOU SESEWER ca $2 Do E:XTN-CESSP0;-,[)F',Yy<'FLL.MA,N,I.Oi-E(@ $5.00 HWYALS ER"-RSP.\Ir2 OR ABANDON HOUSE .OR ST.WIDENING 411 SEWiR O�DISPOSAL SYSTEM 0 $3, --__TE- ----­-.------—-­- .---—-—- -- -----; z STAFNCROACHMrNT PERMIT NO, INDUSTRIAL WASTE APPROVAL CHARGES OWNEWS MIT CONNECTION.:.BARGE FEE TOTAL ee� AUTHORIZATION1 TOT FE i Ze)e r I HAVE AT THIS DATE: A CONTRACT WIYH THE HEREIN NAMED CON. REIMBURSEMENT FEE: TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PU 8L iC SEWFR, APPROVALS DATE tNSPKCTOR'S 5IGNA-.URE S[GNED THIS__. DAY OWNER OR NEW SEWER OWNERS AGENT— ­ 0 L—------- ­­ ­­­ :CONNECT ADDITIONAL I BUILDING OR WORK I ADDRESS SEPTIC TANK.SEEP,PITyS) THIS A AT I HAVE REAL) PPLICATION I HFRF9Y ACKNOWLEDGE THAT ANO/().R DRAINF(ELP AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ------------- WITH ALL COUNT? ORDINANCES AND STATE LAWS REGULATING PLUM'3 ING AND SEWERS. CESSPOOL E- DRYWELL IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED 13Y LOS ANGLES COUNTY AND STATE Or SEWAGE DISPOSAL SYSTEM CAL?FORN I A OR THAT I AM THE LEGAL. OWNER OF, AND INTEND TO SCONNECT PLUG AND RESIDE IN THEA YE DESCRIBED M ED R--IDENTIPROPERTY. ABANDON HOUSE SEWER I I�RJ SIGNATURE 0 F FEI'MITTE� BACKFILLIrl-TIC TANKS 'EE ( P,PIT S. CESSPOOLS VALIDATION ROBERT A. WOOD CK. M.O. C A S.H SUPERV!SiNG MECHANCAL ENGINEER y A 6 A 2 f- 3 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL ` ti3 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DI'V`ISION B U".LD I N_; y JOHN A. LkLMHIE, County Engineer WILLIAM A. IENSEN', Supt of Building �3y3 r --- M1EAREST FOR APPLICANT TO FILL IN CR©ST. - - -- L. -ECAC - DESCR PT10n; LO"NO OWNER EC �... MAIL BL<')CM. TRACT ;�' J�' ADDRESS _- NQ. OF BLDGS. SIZE OF S_OT NOW ON LOT CITY TEL. NO, USE CF DISTRICT NO. GROUP P IAAP ^RO F sr HY_ BLfILDINGS .- B _ K A CONTRACTOR - - AODRE'4 + a x - CONNECTION DATA DEPTH C'T �'.. .'/J.TEL,_N '- �f'�, l✓ SrA�-�f$N-TL. `-�,✓_-y'� }` _- --- -- - t• TATE: MANHOLE REFERENCE - - REGISIRATION NO. J .--_ -_ UN7Y �I - LOWER NO. GF. E..RIP`I" ON F ',NCR FE 7`pE cJF CQ�N NE;TI - ENGiH FRO ._.-.._ PL7$L C- EWER - �- $5 00 -- �^ --- }- HOUSE SEWER..ONNEC.. [NO TO I P.C.NO 5 PTIC TANK SRAINFI::PITOR 1- JOSS NO � PI ..AND/OR DPAINF4cLD @ $10.09 i CO. IMP NO. HCJSE SEWER CONNECTING TO TRUNK PERMIT NO- ROAD PERMIT NO. PR VATS DISPOSAL SYSTEM @ 53.00 �', S _ _ _-_ - -__ -____ _ O jCONNECT ADDiTIONA BLDG OR _ A FIDAVIT I WAIVER_ EAa E4E11'f RECORD, INS7R N ORT£ WORK TO HOUSE SEWER C $3.00 I Yqj OVERFLOW,'aECPACE Pf7,DRAlNFIE:LD ___. w--_ _.-. ___._ --TEAXLTNER,C-:_ESSPGOL.DPYWELL_,.M47Jt OLE.09 S!5.00 _ I-- _- HW-Y" . OR ST._WIDENING R-PAIR OABAN!00N — --.—_- HOUSE EW4 OR DISPOSAL SYSTrM 33 GO S. __ I- .--.. STATE �L ,. PERM:"NO. - INDUSTRIAL __ I WASTE APPROVAL CHARGES OWNER'S PERMIT $ k3;—tw ------ -- —-- ----- — -- CONNECTION.CHARGE FEE AUTHORIZATION TOTAL FEE ��; ------ - - ------------ -- - -I HAVE Al THIS DATE A CONN'I'RACT WITH THE HEREIN NAMED CON- REIMBURSEMENT-FEE TRACTOR TO C NNECT THE ABOVE DESCWBED EXISTING DWELLING __.-7{ __/qty .--�+- .---7 ..-___�. _-_ __ TO T'HE FUEL _.EWEK. APPROVALS DATE �j INSPECTOR'S {vNAiURE SICCNEY3 THIS_ DAY QF­­­--19-- OWNER F---.----OWNE:R OR NEW HOUSE E SEWER OWNER.`.A.GEM1IT____—.__-.____ ._ �__ ___- 1 - - -- CONPd E:CT ADCiITInNAL BJILDINC OR WORK SEPTIC TANK. c^ P PITS) I - I i-FNt SY ACKNOWLEDGE OWLEDGE THAT I HAVE; READ THIS APPLICATION ANiJl qR URAfNFIFLD � L STAT'E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -- - ---- —I-- ---- ---' L COUNTY OROINANCCS AND STATE. LAWS REGULATING MB 114G AND SEWERS. CESSPOOL 03 GRYWELL L � RY CERT?FY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR AS REQUIRED B`( 1_OS ANGLES. COUNTY AND STATE Of SEWAGE DISPOSAL SYSTEMNI.4, OR THAT i AMTHE LEGAL. OWNER OF, AND INTEND 'T0 ISCONNECT Pi UG A.N❑N, THE ABCVC D SCRIBED RES DENTIAL. PROPERTYA13ANDON HOUSE SEWER..•'REBACKFILL EPTI TANKS 0 h9I7'TE SEEP..Of,(S) :J CESSPOOLS Ell VALIDATION ROBERT A. WOOD SUPERVISBNG MECHANICAL ENGINEER CK. M.O. GASH