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HomeMy Public PortalAbout9327 OLIVE ST_Sewer__ A i_ A6A2D -bs APPLICATION FOR PERMIT COUNTY of Lis ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION . JILDiNG fADDRESSIOIV A. LAMBIE, CO31{( EC}2Sw0T -------- WILLIAM .___-WILLIAM A. JENSEN, Supt of Building h EARED rRoss 4Y _OR, APPLICANT TO PILL IN t r _.... 1.:•-tom..-_y __ — _--- _ —_ En FT Oi: 1.OT.7J .�' OWNER MAIL o BLOCK .`R-,CT y?"; ,.'� ADDRESS NO. OF ds_DGS, SI "Z£ m LOT NOW ON LOT 1t7"1 l'Ei_. NO. S.UILDiNCS 7 Y ?`.'^4.. DISTRICT NO. GROUP MAP PROCESSED BY PG BK a CorLTrLncrrrR"— ADDRESS CONNECTION DATA C17Yt, T 0. .� f .;PfAS.'IOf•. Y.tPch L] STATE MANHOLE t F=_Rf NCI RE.IS Ari N NC o - 1 a Li COUNTY - L'OWER —.T-.- No, LF`,Gfr F IC}N OF WORK FEE *YPC nr CONNECTION —� LENGTH FROM -- - ---- -- ----- ---- ,.e -?HIOi5.E 5EW_i;C'ONNE.CT!NG TO �� -- Y. CURS P.L. M.L.TO P.i.. pl L SEW a t4'. t r .t--_I. -._— ' SEPTIC . '!AN .SEEPAGE PIT OR ' F L.NO ' 7-T_1 .ND,OR DRAINFiELD @ $SO.CG CO.fMP NO. JOE NO rq0LISP SL Yr N CONNECTiNG TO. 1 TRUNK PERM_r N ROAD PERMIT NO, PP. t ArE; �F }AL Y TEM $ 00 _t _ _ r _..—..__ --- —1 __, n� D A IT'Ot•AL'�LrrF.-OR -.._ --` �--. AF'F'IDA411� .v,..IVEe'. Fas_m.l;T R� .ORD. INS7R.IY O. 'J�7E 1 KORF:7U r+E,J_E S£WE;7 $3:J0 -,OVERFLOW-SI- PAGE PIT,ORAINF .D i EXTN C'E SPOOL„DRYWELL,MAIVHOLF, y$S.i70 ' '' HWY.PC'S1”.WIDENINGALTER RI AIR OR.ABANDON HOUSE - - ____. SEWER OR 0I5POSAL Y.s7EM @ $3.00 STATE ENCROACHMENT - _— PFHRMtT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNh.II" PERMIT z 00 - — — - --- -- — --- .._ CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE -- RkiMVURSEMiENTFEE -I HAVE .A 1" THIS DA'P E: A CONTRACT WITH THE ;iERS''IN NAMED COI!- . `RAC >-t O r NF ECT t;.E 'tfJW f: GESCRISED F;X iSTtNG !:WELL.!NG - - qp- f0 TE 1,Li'.if , J✓E.P APPRO APPROVALS ``� DATE �INSPECTOR'S iGN47U F.'; `S!GNFC.Tk;S _.. DAY OWNEROR NEW HOUSE,SEWER CONNkT ADD OWIN E R5 AG EN TIONAL zT- IADDLDING OR WORK SEPTIC YANK SEEP.PIT{S)^ 1 THAT I ',AVE READ TH 5 APPLICATION AND/OR GRAINFIELD AN S1l •!f { A80VE I.> CORRr 'CT AND AGREE TU COMPLY '1-HNTY C:RO NANCES AND STATE, LAWS- REGULATING s_U MF 1- ..Ni Sr.Vt'cFtS, CESSPOOL [ DRYWELL I HLRE0V CFR. )-FIAT I AM PROPEERLv RE',CISTERED AN()/OR ALTER,REPAIR,SEWER OR -�- _:CErS..il AS r.6.I,F.En &'Y LOS ANGLES COUNTY AND STATE OF. SEWAGE DiSPOSA._S,ST EM A_:,FOR�7'..? OR T''-'A 4M E LEGAL, OWNER OF, NO J*TE.No TO - .d---_--.•--___�_—_ ._ O CONNLCT PLUG AND I _S:.D� IN, 'f Fi Ad()VE DF f �1FLL d_SfDE:NTIAL FRCPERTY.' ABANDON HOUSE SEWER l !GNAT,URE 5 CI-' PERM1'!'TE E. .,�.._d� a .'j{ y."' BACKFI L SEPTIC TANKS L ¢ - _ SEEP.PIT(S) CESSPOOLS VALIDATION ROBERT A. WOOD SUPERVISING NIECHANIC•AL_ ENGINEER CK. M.O. CASH