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Home My Public Portal About9502 OLIVE ST_Sewer__ 24658 INSERTS f� 6 Ae42.80 7 D APPLICATION FOR PERMIT 6Ac�A2 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING S IOIIN A LAMBIE, CoU12�y En sneer _ADDRESS WILLL!SM A. JENSEN. Sup'f of Building LOCALITY '' d NEAREST - r FOR APPLICANT TO FIM. IN CRDs LEGAL •.F:. I ii OWNER DESCRIPTION LOT N0. C-�� BLOCK TRACTMAIL i ADDRESS NO.OF BLDGS. SIZE OF LOT NOW ON LOT CITY '` TEL. NO. USE OF BUILDINGS ' -" '�'. - DISTRICT NO. GROIfP MAP PB PROC,SSED.BY j f BK gy CONTRACTOR r�.r y., --". ,_1:• i' ,'? i-,itpf'$'.�' .g>i ."x:_. ADDRESS ',: y >'r CONNECTION DATA CITY r a� TEL.NO. °v.. . - STATION T -_'> DEPTH 1;. g STATE MANHOLE REFERENCE _UPPER REGISTRATION No. j=s'` I; a' a`.." '�-. --'Q COUNTY �r ' i �' ,' LOWER NO. DESCRIPTION t?F WORK FEE y HOUSE SEWER CONNECTING TO 3 PUBLIC SEWER_ @ $3.00 - TYPE OFCTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CP.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL, DRYWELL @ $2.00 _ HOUSESEWER CONNECTING TO 1 � P,C.N0. PRIVA'T'E DISPOSAL SYSTEM @ $1.00 _CO,IMP, NO. ,7 JOB NO, � CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1.00 _ ALTER,REPAIR OR AF.ANOON HOUSE STATE ENCROACHMENT aEWEftOR DtSPOSA SYSTEM @ $1.00 PERMIT N0, p 1NOUSTRIAL E+ WASTE APPROVAL W W _ CHARGES OWNER'S PERMIT $ 2100 CONNECTION CHARGE FEE ta AUTHORIZATION TOTAL FEE 'T J REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- - TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS I DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER x_, .y, - - SIGNED THIS A ; OF ?' - 18r NEW HOUSE SEWER �f OWNER OR �f,;+ a'1 CONNECT ADDITIONAL - OWNERS AGENT __. z_ .i BUILDING OR WORK ADDRESS .7 - _ SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD IH ACKNOWLEDGE THAT I HAVE REWD THIS APAICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR G+ PLU3!NG AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISC ABANDON DISCONNECT AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEN41AL PROPERTY BACKFILL.SEPTIC TANKS ❑ SIGNATURE - .� ' SEEP. PIT(S) ❑ CESSPOOLS ❑ OF PERMITTEE ,F� VALIDATIO ROBERT A. WOOD 6K. U.Q: y/ SUPERVISING MECHANICAL ENGINEER CE808 3-C4 76A642D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, County Engineer ADDRE:.. WILLIAM A. JENSEN, Supt of Building LOCALiTY C-- NEAREST FOR APPLICANT TO FILL IN CROSS E --ST.- LEGAL__.— GAL DESCRIPTION LOT NO. 'Z" OWNER MAIL BLOCK TRACT ADDRESS _ NO. OF BLOGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. --ZISE0E-__ BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY 0 CONTRACTOR, ADDRESS) ONNECTION DATA 6 STATION DEPTH CITY UPPER El STATE MANHOLE REFERENCE REGISTRATION NO 7.1 0 COUNTY LOWER NO. DESCRIPTION OF WORK FEE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING To Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER $5.00 SEPTIC TANK,SEEPAGE PIT OR CO.IMP.NO. JOB NO. 0. —ITS AND/OR DRAINFIELD @ $10.00 1 - 0 67 SE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM $3.00 CONNECT ADDITIONAL IRL-Ur-..OR AFFIDAVIT NY RECORD. INSTR,NO. DATE WORK TO HOUSE SEWER @ $3.00 OD I OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CrSSPOOL,DRYWELL,MANHOLE 0 $5.00 HWY.OR ST.WIDENING IL ALTER,R.1- WW&*tfV"N HOUSE I 1 SEWER 0- Fj--A4 A"NIPFM @ s3.00 STATE ENCROACHMENT z PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OVMER'S PERMIT 2 00 AUTHORIZATION TOTAL FEE 11 1 CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON, REIMBURSEMENT FE T r TRACTOR T CONNECT THE ABOVE DESCRIBED DWELLING --F.NSPECTOR'S SIGNATURE TO PUBLIC APPROVALS THE USLIC SEWER, DATE SIGNED THIS—DAY OF 19 OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PITS) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING ❑ PLUMBING AND SEWERS. CESSPOOL 0 DRYWELL IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSEDAS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER�OF, AND INTEND TO DISCONNECT PLUCAND RESIDE IN, THE ABOVE DESC"ED RES jWENTIIIkIL PROPERTY. ABANDON HOUSE SEWER SIGNATURE ITTEE� OF PERM � BACKFILL SEPTIC TANKS 0 SEEP,PITS) 0 CESSPOOLS El VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK. W O. CASH CQ 7 8 5 *3 2'r c 71 OD 5.00— s: a� 78A842.0 `82 APPLICATION FOR PERMIT/ COUNTY OF Lis ANGELES SEWER-SEWAGE D1SF'bSAL., DEPARTMENT OR COUNTY ENGINEER BUILDING AND SAFETY DIVISION SUILDIN, y F JOHN A. LAMBIE, County Engineer ACDRe:ss �� l � � � WILLIAM A. IENSEN, Supt of Building LOCALITY +� APPLICANT NT T FILL T9�T NEAREST .I=O� lai'PLaICASVl 1® FJ1,L ilY LEGAL /$ �,f .,q YS ESCR PT'ION LOT Pf0 OWNER f ,�f,.-(,,_1 9-> /�, ^'#>I/'�"F$,�i MAIL y� BLOCK— ;'RACY ADD NO. OF' SLOGS. �. SIZE— LOT NOW ON LOT C'f'f' "'� TEL. NO. USE LP BUiL.DiNc>:f G#.�t a.-.' DISTRICT NO, RDU� MAP PROCESSEp BY � PG P CONTRACTOR p� � �.�a,.., { •+'(• I s3 >. 4j r' �,�- ..... �! r Ifs {, ADDRESS CONNECTION DATA_.. {{ STATION DEPTH CITYn' '' p�^ „r' L NO. STATE -fJ-- � MANHOLE REFERENCE E .REGIS RATION NO. LJ COUNTY LOWER N0- j— GESCRIP-rfON OF WORK - FEE _ - TYPI*D7^>i.O;..NE�c:r:73:�a________.--.LENGTH FROM ___ �----- -- --- 4 -i HOUSE oEW ER CC:NNEC 71 Nc3 40 �_ Y. CURB P.L. M.L TO P.L. �y PlJ8LIC.SE DYER @ $5..00 ---"-"--"----- S•+ -_. _-....e-. __ P.C.NO SEPTIC TANK,SEEPAGE Piz OR PITS AND/OR DRA,NF'IELO $10:00 CQ.iRSP NO. JO.B NO. .._— .---_-_ HOUSE SEWER CONNEC,iNG TO � TRUNK PERMI i'NO. ROAD PERMIT NO- DISPOSAL O.DI POSAL YSTEPA @ $3.00 CONNECT_WORK UtTION;,flLL_" OR rTC HOUSE S C 53.0E UJI OVFRFL_WSCEPACE P77,DRAINFIELD r AFFIDAV(T �14+,47vER i[aSEM ENT RECy�RD:.INS R.NO. i DATE dd EXTN.,,CE POOI..,DR WELL,MANHOLE @ $5.00 1 ALT _ER,REPkIR.._OR ABANDO_ _NHOUSE -.__.._!_ HWY.OR 52 E,M`EP.OR DI P47SkL SYSTEM $;3.00 - .— - -__ STATE EN ROACNME:NT dv PERMIT NO, INDUSTRIAL VAL � OVi�NE RIvII�__' �_ z� _ �7ry��yry,�gry�¢.g. 7�� - CONNECI N C ARGE FE, TOM FEE I HAVE Al- 'THI3 DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBUFSEIM_EN_F EE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING D,VELL(NG --- y5-- —qg-�qt'----- —�-- --- ----_- TO T'HE PURL;C. SEWER. APPROVALS y� DATE I INSPECTOR'S SIGNATURE SIGNEDTHIS--------DAY OWNER OR NEW HOLISE SEWER OWNERS AGENT . CONNECT ADDITIONAL 3UI.LDING OR WORK -._.. ADDRESS, - - SEPTIC TANK,SEEP,PIT(S) i HEREfl.. AC'KN WS LEDGE THAT I HAVE READ THIS APPLICATION AND/I OR DRAINFIELD AND STATE. THAT THE ABOVE: 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE, LAWS REGULATIN>;. PLUMS N<, AND EV RS, CESSPOO IJ LRYWEI;L L, I HEREBY CERTIFY I THAT I AM PROPERLY REGISTERED AND/OR ALTER,RE. A.R,SEWER OR LICENSED AS REQUIRED SY LOS ANGLES COUNTY AND STATE OF SWAGE L SPOSAL SYSTEM CALI ORN IA OR THAT' I AM TIME LEGAL OWNER OF' AND INTEND TO DISCONNECT ➢7F:3 ICE IN, `iH A30Y CESCRI3 D FTES'DENTIAL,PKOER'Y-� P_UC ANDti ABANDON HOU LE SEW R uIfNA TURF '' . „..�OFfBAC"RPILL SLF T C TANKS _- — -_- - SEEP,PIT f5) 0 CESSPOOLS VALIDATION ROBERT A. WOOD CK. M.OCASH SUPERVISING MECHANICAL ENGINEER .. . 9 0 0 -%a-* AUG 16 1 0 0 JC.l 0-