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HomeMy Public PortalAbout9856 OLIVE ST_Sewer__ T)EPARTIIENT OF COUNTY F-NGINFXR SEWER---SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESSBUILDING r FOR APPLICANT TO FILL IN LOCALITYNEAREST ADDRESS .__ r CROSS ST. LOCALITY CDISTRICT NO. C-SERIAL NO. PERMIT NO. c., NEAREST � ' � ,- CROSS ST. �. i ---- RECEIYfD B Ready for Inspection DATE ISSUED OWNER MAIL ADDRESS USE ZONE OCCUPANCY BK MAP CITY TELAO. , CONTRACTOR CO.IMP.NO. ADDRESS Sea yl s JOB.NO. CITY TEL.NO. - 6 7 47TRUNK PERMIT N0. TNTE REGISTRATION NO, IiR0 NTY ROAD PERMIT N0. LEGAL ` STATE ENCROACHMENT DESCRIPTION LOT NO. PERMIT NO. BLOCK 'TRACT INDUSTRIAL WASTE APPROVAL N0 SIZE OF LOT .OF BLOGS. GH GES { ± �� NOW ON LOT _ _ USE OF BUILDINGS ►_t CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO - PUBLIC SEWER 0 $ 3.50 I RECEIPT N0. I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPT N REC DED WORK TO HOUSE SEWER 1.00 t ALTER OR REPAIR EXISTING P!0' I DATE i SY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 C NNECTION DAl'iA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 I STATION DEPTki CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER _ TYPE OF CONNECTION LENGTH F OM OWNERS PERMIT $ I 1 00 Y. CURB P.L. 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 SEWE SIGNED THIS...... .........DAY OF.4 ^ _19_._, NEW HOUSE SEWER � OWNER OR CONNECT ADDITIONAL OWNERS AGENT....-...............-----••--......--•--•........_.._......_..-......... BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS...................................................... AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[] DRYWELL(� 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 REGISTERtD DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE ESCRIBED RV TIAL PROPERTY BACKFILL SEPTIC TANKS E) SIGNATURE _,�w ✓ SEEP.PIT(S)[] CESSPOOLS OF PERMITTEE.--.-------......... - - .......- -....__< ..... - .;. 7GA642A 663 7/53 DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING I ADDRESS I 7.0 FO_ APPLICANT TO FILL IN LOCALITY j f' BUILDING NEAREST ADDRESS ' �j CROSS ST. 14 LOCALITY ` DISTRICT NO. SERIAL NO. PERMIT NO. As NEAREST CROSS ST. /r� y-Al' y— �J ------ fJ � .r' ` / RECEIVED BY Ready for Inspection DATE ISSUED OWNER Jar[ F//"` _ 3/ zG'o}t. 7 ' ,, .. MAIL { j rUSE ZONE OCCUPANCY BK MAP P6 ADDRESS /�,.�d CITY r TELAO. CONTRACTOR e, IZ450,6 A3 o CO.IMP.N0. ADDRESS JOB.N0. CITY �TEL.NO. ' rO ,ra. TRUNK PERMIT NO. TATE REGISTRATION NO. 4 COUNTYf ROAD PERMIT N0. s LEGAL STATE ENCROACHMENT DESCRIPTION LOT NO. — PERMIT N0:�, y' BLOCK TRACT INDUSTRIAL — WASTE APPROVAL-, SIZE OF LOT N0.OF BLDG3. .. CHARGES NOW ON LOT _ USE OFf �J`,4'j� I/i ,0000 SUILOINGSr"' t, t' i y r' CONNECTION CHARGE FEE NO. I DESCRIPTION OF WORK FEE REIMBURSEMENT FEE J.HGUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 3.50 RECEIPT NO. DATE (BY HOUSE SEWER CONNECTING TO ;PRIVATE DISPOSAL SYSTEM 1.00 y.' CONNECT ADDITIONAL BLDG.OR E;h EPTION RECORDS& WORK TO HOUSE SEWER 1.00 N I DATE 1 BY ALTER OR REPAIR EXISTING _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 y DEATH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER Low-ER TYPE OF CONNECTION LENGTH FROM t Y. CURB t.L. M.L.TO P.L. OWNERS PERMIT $ I oo AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DES IBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLVO SEWJER --- i:r SIGNED THIS.....__...._._ . .......�. 'Y.._. NEW HOUSE SEWER ..:.__. _ OWNER OR CONNECT ADDITIONAL OWNERS AGENT.......-_..__- .__._.._. BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS......-..................................... ..__.....__....-_.._................... AND/OR GRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] DRYWELL 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 AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF, OR THAT 1 AM THE LEGAL OWN. ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PPOPERTY. BACKFILL SEPTIC TANKS E] SIGNATURE(, '. R SEEP.PIT(S)(] CESSPOOLS[] r ! OFPERMITTE - - ...� .. : ... _..... .... 76A642A 663 7/53