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Home My Public Portal About10569 OLIVE ST_Sewer__ 53 aE-66 3& -SSS it-85 APPLICATION FOR PERMIT 1 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles ~�" rAD=DRESS JOHN A. LAMBIE, COUNTY ENGINEER TO CASSATT D. GRIFFIN, Sut='T of BUILDING CALITY FOR APPLICi C T TO FI ,L IN ROSST 4 R0S5 ST. L CRIPTION LOT N0. _CWNER " � !�._ Li� MAIL BLOCK TRACT {�.> ` _FDDRES_5 _. -- ---_— NO. OF BLDGS. CITY - TEL, N0. —.----- SIZE OF LOT NOW ON LOT USE OF ---- -- --- — BUILDINGS DISTRICT N0, - GROUP - MAP ---- --- __ — -_-- A"" BK PG CONTRACTOR ADDRESS - z CONNECfiION DATA - S1A CITY ----- TEL. NO. .. . — ..d �=s DEPTH - ' -- —--=-- --— -- — MANHOLE REFERENCE ✓ r _ STATE __ d '=•.�. ,�'Y da'` LOyr REGISTRATION N0. n❑ COUNTY NO DESCRIPTION Of WORK FEE -- II— - - _ _-- -- — —_ TYPE OF CONNECTIOI)i, -";A LENGTH FROM,r i HOUSE SEWER CONNECTING 10 i { PUBLIC SEWER _ _ @ $3.50 i _ _I ---- '"'P lea M.L.TO P L G'' -- -- SEPTICTANK SEEPAGE_ OR— -- PITS AND Oft DRAINFIEL_D. _ �,c_ 3.00 I OVEPFLOW SEEPAGE P T,DRAINFIELD j EXTN.,CESSPOOL.DRY)WELL,.MANHOLE f¢ S 2.001 l CO. IMP, N_0,_ ";�". — JOB Pd O. j HOUSE SEWER CONNECTING TO �I PRIVATE DISPOSALS STEM (i s 1.00 TRUNK PERMIT NO. ROAD PERMIT NO. CO.NNFCT ADDITIONAL Bi.DG.OR STATE ENCROACHMENT WORK TO HOUSE.SEWER (ti) S 1,00 PERMIT" NO. ---- -- ' ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL - I SEVER OR DISPOSALSYSTEM a �rz $1.00 �__--- WASTE APPROVAL _ ! CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT $i 11 00 — ---- ------------- -_._— REF F'.BURSEMENT FEE AUTHORIZATION TOTAL FEE I HAVE 7'T THIS DATE A CONTRACT WITH THF HEREIN NAMED CON- - APPROVALS _ DATE IINSPECOk SSIGNATURE TRACTOR 10 CONNECT THE .ABOVE DESCRIBED EXISTING D' ELLING ---- ---- ----- --- :_ i---- - - - — - TO THE PUBLIC SEWER. NEW HOUSE SEWER I$: SIGNED THIS__ DAYCONNECT ADDITIONAL —.._ OWNER OR _ BUiLDING OR'W1ORK- OWNERS AGENT_---'_ _________ SEPTIC TANK,SEEP,PM_$I ADDRE- �. ANU;OR DR.4lNFFLD 1 HEREBY ACKNOWLFI)CE THAT 1 HAVE READ APPLICATION CESSPOOL D 6 YWFLL 71 � AND S„ 'i'H rl .hE ABOVE IS COr.R.E:i HEED AG.tEc ., TO OM"LY WITH ALL CV' N1 Y O^f:INANCES AND STATE LA'O'S REGULATINGALTER,REPAIR.SEWER OR`.— ----- PLUMBING AND SEWAGE DISPOSAL SYSTEM ! HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED "TE OF DISCONNECT PLUG AND LICENSED AS F�'u'REG BY i.1�5 ANGELES COUNTY AND Si ATE OF CALi 09_NIt OR TH;7ABANDON HOUSE sEVWER -__-_--- , r„" fait LEGAL OIVNER OF THE ABOVE- _---_ _ ._-_—, DESCR+BED RE.1DENTIAL PROPEKTY, BACKFILL_SEPTIC TANKS " OF PERMITTEE_` lE. . �� '..__ SPO. SIGNATURE CES _ .. OHN A. LAMBIE,Cou NTY ENGINEER VALIDATIO'N' ROPFRT A. WOOD, CHIEF PLBG, INSPECTOR CR. N_O. -°'CASH r '. `A `AO420 .6APPLICATION FOR PERMIT' 'rtsA842p '. COUNTY Of LOS ANGELES SEWER—SEWAGE DISPOSAL �L DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING � > JOHN A. LAMBIE, County Engineer ADDREss --- WILLIAM A. JENSEN, Supt of Building N AR-ST FOR APPLICANT TO FILL � ROSS s - -=c AL._-. �. .. . E'[R F=TION I.O"f NO. _ OWNER MAIL. BLOCK 7FACT 6." '4� ADDRESS _._ _._. NO OF SIZE. OF LOT NOW ON LOT ,,�.y/yam i-ITY TEL. NO. ,SSE f'F r3:J;LWNGS jyq( DISTRICT NO. GROUPMAP - PROCESSED OY BK PGCONT FACTOR r ,y' ADDRESS d✓ ,.aod '�J.,..i✓_. _ . __ ___ - CONNECTION DATA CITY gray - TEL. NO. �f',�`..yk Fe-� `STATION DEPTH . _ STF'1'E U,PRE REGIS RA TIC)N NO .� 1 OCINTY MANHOLE REFERENCE _ �R -. _-r - f;:ESGRIi''TIflN CF' WORK LEE - _ TYPE OF CON NEGTSOAd LENGTH FROM - � � ----- TI ----- - NC ---- ------ �------- - HOUSES-.-SEWER CONNECTING TO I Y '.,- '- .`C.t Ria P;L M:.L.-TO P.L, I PUBLIC SEWER, C $5.00 I _ F•_.-._ _ _- _ _____ _,�. -_ _ i -_ P.C.NO. - SEPTIC TA K,SEE At• .RE PIT GT2 P)TS AND/CR DRA.NFIELD IO.DO CO. !MP NO. JOB NO ISE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO. I./ aryl, PRIVATE DI POSAI SYSTEM_ @ 53.00 AFF _ 7I RrC`ORD It+l'-1R IV FJ. DATE WORK HOUSEOSTDG.OR ( AF FIDAVIT.I WA!VEA L.A,.CMEN' I T V OF},r0 HOUSE r':SEWER ` $,;.00 ! _ y I C- OL.DPILL L. INFIELD - __-. --- 1 .— L.__,.-._ oSEEPAGE MANFI X7 ER REr'AOR OR ABANDON HOUSEE s'.GO tdWY.OR ST.WIDENING a I i --I NI_-:R OR DISPOSAL SYSTEM $:,a.Oi) �_ _.__ _._-_. __._ 1,_.. STATE ENCROACHMENT PERMIT NO. INDUSTRIAL 1 WASTE APPROVAL J �_------ CHARD ES ' AUTHORIZATION Oilli7,A1JCtNER PER l-T _ f __ Z'- C>3 ------- ---- ----- --- ---- ---- ---- rild 8.I ATION ..-TOTAL E- CONNECTION CHARGE FEE -i HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON, REIM B'_RSEM.ENT FEE TRACTOR I'D CONNECT THE I�BOVE. OESCRi3ED EX!STING DWELLING ---- -- --------------- T ------- TO THE P1,;B IC SEWER. APPROVALS, I DATE iN5PFCTOR'S SIGNATURE_ SIGNED THIS D.I Y -- 6WNER0 R V NE%'HOU E SEWER _ O`dJNERG.ACsTANK EMT ADDRESS_._ NECT SEP ON BUILDING O bWEERP PIT I5.)__-_- - '� - -_-_.__ -- - T![' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT OAd ! A FJ D;OR DRAINI=IELD AND STATE THAT THE A&IDVE IF, CORRECT AND AGREE TO COMPLY --- _--_-_-----_-_.J.-_—. WITH ALL CCI)NlY ORDINANCES AND STATE ._AWS P.EGULATING j -_f-�__------ PI_UME N(:; AND SEWERS. CESSPOOL [] DRYWEL,L [� i HERE'y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,RCPAtR,SEWER OR LICENSED AS REQUIRED o-3 LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CA2..IF'ORNIA. OR THAT I AM THF'. LEGAL OWNER OF, AND INTEND TO DtECONNECT PL.IJG A.NO� R'r;SIDE IN, THE Ak"fOY D SCR?3EO RESIDENTiAt_ PROYER'iY. ABANDON HOJSLSEWER SIGNATURE OF FERMif"i'£_. _ Lag,_ ' '�'"'—"�" SACKFir.. SC YTtf'TANKS SEEP.PIT IS) L-1 CESSPOOLS [] VALIDATION > � ROBERT A. WOOD "I SUPERVISING MECHANICAL ENGINEER CK, M.O. CASH - 70ad$�. 7A642p '^ APPLICATION FOR PERMIT PyASxS� COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BU!LOING JOIN A. LAMBIE. County Engineer ADDRESS WILLIAM A. JENSEN, Bup`t of Building �— _--�-.-- .--_-- --- LOCALITY - - NEA REST FOR APPLICANT TO FILL IN TCROSS ST. 7,f+'1 L A D-SCRI ION LOT NO_ {� OWNER .:>"'� '✓... '-�'/y MAIC. BLOCK T'RAC. ADDRESS NO. OF BLOCS. 5:zF. OF LOT Nt7W RN LGT C17YTEL. NO. BUfLOINGS D15 R.iCT NO. R.UP MAP PROCESSED BY FG " CONTRACTOR ADDRa SS .�;'' --� �.�.- ��++s f - d CONNECTION.DATA .$ 6& A° -TA.TIPN -�� DEPiH y CITY � TEL, NV'. '/ r7 STATE UPPER MAh�rd Ol E RE>=EPYEN t - - REGI TRAY 1'�N N.� % LJJ COUN'YY CL 0Nn. DESCRIPTION OF WORK FEE YYPC O=CG' N C7;Uh LENGTH FROM HOUSE SEWER CONNECT,NG TO _- - ---- � ---- Y i CURIB Py. - M,L TO P.L. di PUBLIC SEWER �+L $5.00 - �.. PC NO SLPT[C TAN SEEPAGE f•'3T 072 __.__ ____-_ ._- .;, y TS A-40'OR DRAiNFIELD0 $10.00 ! CO._!MP NO. — y_.__ 'OB NO PI _ 1 HOUSE'>' f F[_R CONNECTING TO I TRUNK PERMIT NO.' ROAD PERMIT NO. ¢�-J PR JA TED POSA4 SYSTEM @ $3.00 ` } LU t_C-- O -y_ RDD TiO_NAL R DC 7R WORK TO H}115E P WE@ $3.0AF t-'C-AV II..w,1-vEu i _a_l_.[a. TR NO TI DATE F®1•$ 'i OVER I.OW SEEPAGE PIT,DRAINFIELD ! F'kl'N.,C.E SSPOOi_..DRY.YELL,MA.NH OLE @ S..>,00 HWY.OR SY.W1DEAd?PJC ALTER.REPAIR OR ABANDON NOUSE SEWER OR DeSPO$At SYSTEM '$3.0fl _._._ -__ .._.- F ENC ROACH M ENII IND uSTRIAL WAS _TE APPROVAL —. - - qi� g� �+ O YN'.NL.I�"a7 PERMIT AUTHORIZATION TOTAL FEE fi ccNNECT{GN CHARGE FEE 1 HAVE AT THIS DATE A CONTRACT WITH THF. HERFIN NAMED GON-. REIMBURSEMENT FEE TRACTOR TO CONNECT THE. ABOVE DE'3CRi U F.KIST ING DWE'LL.ING --- 'ry- --/��/ ----- -- - ------ ---- --------- T'O-THE PUBLIC' SEWER. APPROVALS r DATE �INSPECTOR'S SIGNATURE SIGNED THIS -----DAY t7P--- -- 'g—_. T--- -._- ----' ---i ---- ----- --- - --- OWNER OR NEW H.O(..r--ER j OWNERS AGENT -CONNECT ADDITIONAL BUILDING OR WORK SF�TIC TANK,SEEP,PIT(5) . T I 'n ERFBY ACM sOWLFo E THAT I HAYS READ TV115 APPLICATION '� AMD;'OR DAENFItLO qNr T Te, r:+ -+ 711L ABOVE 15 CORRECT ANDAGREE TO COMPLY WITIP ALLCOUNTY ORDINANCES AND STATE LAW'- REGULATING _--�--� Pl UM6ING AND $ WE'RS CESSPOOL F-1 ORYWCELL n H .RFFAY C RTtF'Y AT I AM PROPERLY REGISTERED ANDt OR ALTER,RrPAIR SEWER OR i--- -- LI<'EM ED A5 RELZUIRED 8Y LO. ANGLES COUNTY AND S7 ATE' OF SEWAGE DISPOSAL SYSTEM CALSFORh!A OR THAT I ASI .r LEGAL OWNER OF AND INTEND TO DISI"ONiv R 570E IN, THE 'ABOV4 DCs:(''A.t3EO RESICENTlAL PRO€' R'YY. 1 ABANDON HOUSE SEWER BACKF!L SEPTIC TANKS OF PERMITTEE PI SCEP.PITS} CESSPOOLS VALIDATION .--, ROBERT A. WOOD LK. M.O. (A5'Fi. ,a. SUPERVISING MECHANICAL ENGINEER