The URL can be used to link to this page

Home My Public Portal About9425 OLIVE ST_Sewer__ 75A64.20 „� APPLICATION FOR PERMIT 1 5&E•6�11-?56 (DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Deportment of County Engineer County of Los Angeles BUILDING JOHN) A. LAMBIF_, COUNTY ENGINEER --ADDRESS----_-- _ 4;..,•. _-- __ - __--- CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY - FOR APPLICANT TO FILL IN CRoSST. � LEGAL �5 OWNER DESCPIFTIUN LOT NO ,_.r, -,,. _ —.---- "� _t.�—,�JJ_'—i _- MAIL --- BLOCK TRACT`` - - - ADDRESS NO.OF BLDGS'. CITY - TEL. N0. SIZE OF _LOT1 — ` IOW ON LOT _ - _ _ USE OF DISTRICT NO. - GROUP MAP HUILD.INGS O - — — — -• i, BK PC �f�y CONTRACTOR --ADDRESS sit -+'.— — ------ ---- ---------- CONNECTION DATA CITY TEL. NO. STATION DEPTH — --- — f MANHOLE REFERENCE UPPER . 1 , .STATE _.,._.._ _ _ LOWER REGISTRATION NO• 1 !,,,,_�:; Q COUNTY No. DESCRIPTION OF WORK FEE i HOUSE SEWER CONNECTING TO I ` --- TYPE OF CONNECTION LENGTH FROM PUBLIC-SE VER lci;' $3.50 l Y. CURB - P,L. M.L.TO P.L. _ SEPTIC TANK,SEEPAGE PIT OR I PITS AND/OR DRAINFIELD Cz $ OVERFLOW SEEPAvL T IN DRAFiELD P. C. N0. EXTN ,CE SPOOL,LR Y',E LL,MANHOLE (c ,001 I CO,INP N0, TOB NO. HOUSE SEWER CONN(CTING TO PRIVATE DISPOSAL SYSTEM C $1,OD 1 i TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ..ADD(TivN L BLDG.OR _+ I WORK TO HOLSE SEN ER Cd; $5.00. _ "I I ,,^, PERMI ENCP,UACH.R+ENT - ALTER,REPAIR OR ABANDON HC USE � INDUSTRIAL. SEWER OR JISPOSAi SYS PEI+i _ <§ `7 1.00 �— 'ArASTE APPROVAL -�..— CHARGES 1. CONNECTION CHARGE FEE OWNER'S PERMIT S 11 00 -.---- -- -----'�------- -- --- ---- REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS _j_ DATE 11 SPE T.QR'SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. NEW HOUSE SEWER L i 1 SIGNED T}iIS—__ OAY OF i9CONNECT ADDITIONAL OWNER OR BUILDING OR YORK--- — -----�---- I ___..— —_.._--- OWNERS TANK,SCEP,PITiS) I ADDRE55—_... __ ANDiOR bR.AiNFtcLD 1 HERBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL;] DRYWELLiJ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '1VITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HERESY CERT-FY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS; ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND � CALIFORNIA OR THAT t M 'THE LEGAL OWP IV OF THE OVE _ ABANDON HOUSE SEWER_ DESCRIBED RESIDEPITIAL PVOPERTY. --�` BACKFILL SEPTIC TANKS SIGNATURE.' ✓ 11 SEEP. PIT(a) C CESSPOOLSOF PERMITTEE - "' _ ----- -- IOHN A. LAM IE - OUNTY NGINEER VALIDATION ROBERT A. WOOD,CHIEF PLBG. INSPECTOR l ' CK. N.8. GASH - y f DEPARTI LENT OF COUNTY L-INGMEER SEWER-SEWAGE DISPOSAL 1 J3 'VISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO liN LOCALITY _^ BUILDING r NEAREST — — ADDRESS CROSS ST. LOCALITY �. v' DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST l A s CROSS ST. j -- RECEIVED BY Ready for Inspection � DATE ISSUED OWNER Ct r MAILtzz- USE ZONE OCCUPANCY MAP ADDRESS _ I I BK PG CIT �" TELA . CONTRALTO IMP.NO. ADDRESS JOB.NO. CITY / TELAO Yy" ��`lr✓g+ TRUNK PERMIT N0. STATE REGISTRATION N0. COUNTY ROAD PERMIT NO. LEGAL STATE ENCROACHMENT DESCRIPTION LOT NO. — PERMIT N0. BLOCK TRACT INDUSTRIAL -- WASTE APPROVAL ` SIZE OF LOT NO.OF BLDG& CHARGES NOW ON LOT USE or---,fr, BUILDINGS-.' CONNECTIONCHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO — PUBLIC SE4dER @ $ 3.50 RECEIPT NO. DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 - A TOR REPAIR EXISTING NO DATE I BY - ER SEWER OR DISPOSAL SYSTEM 1.00 I I DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 i CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR _ PITS AND_/OR DRAINFIELD 2.00 STATION ! DEPTH CESSPOOL—DRYW ELL _SPECIAL CONDITIONS ONLY 2.00 I MA UPPEREFERENCERLOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT ; = CURB iz. - M.L.TO P.L. AUTHORIZATION I TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS...... NEW HOUSE SEWER ... .DAY OF_ ,..� .__._ 19..._.. I CONNECT ADDITIONAL r--~ OWNER OR r° BUILDING OR WORK OWNERS AGE �.�- � c: _.. ire SEPTIC TANK,SEEP.PIT(S) ADDRESS.......... -: