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Home My Public Portal About9217 OLIVE ST_Sewer__ CE804�j 3-62 76A*42D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION DING, JOHN A. LAMBlE, County Engineer S WILLIAM A. JENSEN, Sup't of Building LOCALITY NEAREST CROSS ST.Z�, ".-c- FOR., APPLICANT TO FILL IN --tv. l y DES_ '6WIN E R LOT I BLOCK "DURES, NO. OFNRLDGii. ------- WILLIAM SIZE OF LOT NOW 0 LOT CITY USE OF SU)LDINGS DISTRICT NO. GROUP NIAP PROCESSED BY Bpi PG CONTRA.TOR . ..... ADDRESS CONNECTION DATA StAtION DEPTH FL 11 REGISTRATION NO. STATE MANHOLE R�FERENCE FEE 7 vp E 0 F C?N1,4ECTION LENGTH FRCSM NO. bl-,SCR i PTION OF WORK P-L, GLEN TO P.L'. i HOUSE SEW EI CONNIE"CTING'T Y., PUBLIC SEWER @ $5,00 ANK,__ t P.C.NO. SEPTIC T SEEPAGE PFF-OR C 0. 1 M P, N 0. JOB NO. PITS AND/OR DRAdNF IrLD @ $10.00 __ __ - - '_NG To HCUS_E SEWER CONNECT ---@ $3_0 TRUNK PERMIT NO. ROAD PERMIT PRIVATE DISPOSAL SYSTEM 0 CONNECT ADDITIONAL BLDG OR AFFIDAVIT RE.0 D.INSTR. NO. DATE WORT(TOHCIUSEWER 3 OVERFLOW SEEPAG- _F E PIT,DRAINFIFLD EXTN..(-.ESSPOOL,DRY WELL.,MANHOL-E @ 55.0() __KL_ HOUSE- ____ HW_Y.OR ST.WIDENING Tl�:R�F;Aili 6RA6"b&N SEWER OR DISPOSAL SYSTEM @ $3.0 STArE ENCROACHMENT j, PERMIT NO. iNDUSTRIAL WASTE APPROVAL CHARGES 00 OWNEEL PERMIT C _- ' ONNECTION CHARGE'E' AUTHORIZATION TOTAL FEE _ I HAVE AT THIS DATE A CC ONTRAT WITH E.THHEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR T C NN ECT THE A13OVE DESCRIBED EXISTING DWELLING TO I'HE p UBLIC SEt OR. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS-, DAY O'_14-_ OWNER,OF, HOUSE SEWER OWNERS AGEN%�-_L;� _------ CONNECT ADDITIONAL ADDRESS BUiLDINC DR WORK SE.PTI I HE14E BY ACKNOWI,EDGE THAT HAVE READ rHIS APPL!'CATION TAN ,, , K,5FFPPIT(S) , AND/OR DRAINFIELD -E CORRECT COMPLY AN STATE THAT TFSE ABOVE IS COR AND AGREE TO WIT H ALI COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND, SEWERS CESSPOOL DRYWELL I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQU!PED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORWA CR THAT I AV. THE LEGAL OWNER OFAf4D !NIFND 1-0 D��C_(5j�N EC RESIDE IN, THF: ABOVF� DESCRI390 RESIDENTIAL PA<>PERTY. I T PLUG AND ABANDON HOUSE SEWER SIGNATURE 'T SACKIF!LL SEPTIC TANKS F] OF PERM", EE SEEP.PI-f(S) ❑ CESSPOOL-S VALIDATION ROBERT A. WOOD CK. M.0. CAS� SUPERVISING MECHANICAL ENGINEER LE&OP.;:Fs-E2,7 6 F<.P'+20 .APPLICATION FOR PEIF MIT COUNTY OF LOS ANGELES SEWER-SEWAGF- DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FD N ,r JOHN A. LAMBIE, County Engineers WILLIAM A. JEIYSEIY, 9up`t of Building TY 4 _ _ NEAREST � FOR APPLICANT TO FILL CRD55 s7 DESCRIPTION T NZ. -•—__ '. I (...�.._ - OWNER 8!Oce R. T Or 6LuC 5. ADDRESS _ UR 55 NO. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF EIUILU NC35 „ DISTRICT NO. CROUP MAP PRO 55EDBBY CONTRACTO ADDRESS CONNECTION DATA -- ------ -- - - _ t S'f a.71 N DEPT hi J TATEMANHOLE REFERZ. CE REG15 RAYI.DN NO. I� COUNTY - •.:IEHy:R•+ NO.� DES RIPTI N OF WORK FEE --_ TY}'E OF CONNEC ION —3.-- LENGTH Fq'C?M -- _ - �. HOUSE:.SE WER CONNECTING TO —._. - _ }' ., B a•+L. M.I_ TO P L. -•' O PUBLIC SEWER @ $5.00 P.0 0 s .00 Nb FP, 7 Ok SEEPAGE PID GR - - IPTi'Ai'D/C?itL:RAINFf E:-.O (� $ � i COIM? NO.. _ ,...:; .., JOB NO. I . _.._— _....._ HO.ISE S WER CS NNECTI PtG-Tc` r—_.__ I TRUNK Y RM;T NO. ROAD PERMIfY)10. PRIVATE D SIOSAL SYSTEM. X3.00 `'� — F"+N ELY AC7 Ti ntdAt BLDL OR I AF}`IDA VIT �tin VEA EA""=E k!t HS i--RE ORD.--IN R NO.� - DAYS. — WORK TO HOI.SE 5EWER' - 33.00 OVERFLOW RFLOW ..PACE PIT,DRA(Nf IELD I .--- _I tYl N„CtSSPn OL O-tYWELI I.+ANfdOLE C_$5.00. _._—s. Ai,fERt REPAIR OR ARAN DON HOLSc. — HW Y.OR 87.WIDENING . SSR C>r?D.: POSAL SYSF' M $.3.00 _- i >TATE ENCROA"MENTI PERMIT NO. •�!•—.`..: _ y� WASTE APPROVAL C _ARI;ES OWNER'S PERMIT 1 _ _._ - -- CONNECTION CHARLE FEE AUTHORIZATION TOTAL FEE � r - - - - - -- - --- HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAFA4 CON" RE;M®URSC-FS E114T FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EX15TING DWF_LLINGp—y_____.___.____._.__..__—..., TO THE PUESL IC SEWER. APPROVALS DATE IN3PEC'.TOR"S SIC:NATURE SIGNED THIS—..DAY OF—,----I 3 .._.._ --- -----� - � — - OWNFNOR NEW HOUSE,!SEWER 1 OWNERS AGENT—___--_ .... CONNECT ADDITIONAL ._ BUILDING OR WORK SEPT I(^TANK.SEE Yt7(S) I 1 HERL(iY.ALI�Nfs W'4F U6 E, THAT t 1i AVE READ THIS APPl1CATItYW AND/OR ONAINF'tFLD I AND S!RTE THAT THE ABOVE IS CORRECT AND AGREE'. TO COMPLY - -._— WITHLAWS REGULATING ALi- COUNTY ORDINANCES AND STATE ------ _.._—._. _ PLUMBING AND SEWERS. CESSPOOL [] DRY'WELL [] I HEREBY CORTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR 1 � L'.0€NSED AS REOi31R y j5Y L. ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALVF.ORNIA OR THAT f,AM YHE LEGAL OWNER OF, AND INTEND T'O _.E IN. 'TDtSCON NE'CT ALUG .AND RESIHE. AROO'I'Z DES(Rb8ED RESIDFN'f1AL .ROPERTY. ABANDON HOUSE SEWER SIGNATURE __... _� OF PC RMITTEE !_,�,�. _� �i _ —Y:_� BACKF LL SEPTIC TANKS - — SEEP, Pr iS) ❑ CESSPOOLS ❑, VALIDATION ROBERT A. WOOD SUPERVISIh,IG MECHANICAL ENGINF_E'R DEPAli�N EENT OF COUNTY ENGINEER SE-WER-SEWAGE DISPOSAL 7 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION 1 • CIOIINTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANTTO FILL 4 LOCALITY BUILDING f NEAREST ADDRESS oC� ei '!` CROSS ST. DISTRICT NO. SERIAL NO. PERMIT NO. EAELOCALITY J^ CROSS ST. /'Y`�• ri'�'r i+�Y ~ / D QC.+��S E Ready for loapeotlon DATE 188UED OWNERMAIL ADDRESS f! *rQ/ U8EZONE OCCUPANCY BK MAP PO �EL.N0. CONTRA'CTO 11A ,� , !-�Te CO.IMP.NO. ADDRESS I.i• is i'.i+.�- li 4 JOB NO. 1�l ffs� TRUNK PERMIT NO. REGISTRATION 90. rGy(� ® COU.NTY ROAD PERMIT NO. LEGAL r� ✓ STATE ENCROACHMENT DESCRIPTION LOT NO. PERMIT NO. BLOCK TRACT NDUSTRIAL SIZE OF LOT A! NO.OF BL ASTE APPROVAL D r NOW ON LOTT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEM.ENT.EEE HOUSE SEWER'CONNECTING TO /� - -- PUBLIC SEWER 0 $ 8.50 V RECEIPT N0. DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 I =- CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING - - �- —_ NO..- --' -DATE-- -= BY - SEWER OR DISPOSAL SYSTEM 1.00 -�--•-•- - DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 - CONNECTION DATA SEPTIC TANK.SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 - STATION �i DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2:00S MANHOLE REFERENCE • UPPER i TYPE OF CONNECTI N LENGTH FROU OWNERS I PERMIT $ I 00 CURB M.L.TO P.L. AUTHORIZATION TOTAL FEE: 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR. BLIC SEWER TO CONNECT THE ABO .9 DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE P! SIGNED THIS....__......DAY OF... 1�s"''JC; .__.._INEW HOUSE-SEWER / (� OWNER OR �r�..Z "'- CONNECT ADDITIONAL OWNERS AGENT..........._....__.' BUILDING OR WORK ADDRESS.......... i- -�- E J-- - 6 peC�J 'SEPTIC TANK,SEEP.PIT(8) _.._.._. . ...... .._. ..._..._... AND/OR DRAINFIELD 1I HEREBY NOWLEDGE THAT I.NAVE READ THIS APPLI• CESSPOOL[:] .DRYWELL 0 .CATION AND STATE THAT THE ABOVE IS CORRECT.AND AGREE . TO COMPLY WITH ALL COUNTY ORDINANCES AND.STATE LAWS ALTER.REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE.LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS .1 O SEEP.PIT(S)[] CESSPO.OL_$ SIGNATURE / OF PERMITTEE.._.. ft�_ cL- S�_/�" 76AG42D 603 1/58