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Home My Public Portal About9951-9951 1/2-9953-9953 1/2 OLIVE ST_Sewer__ 3:•88E-663 11-55I;& APPLICATION FOR PERMIT 1 3 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN, SUP'T OF BUILDING. LOCALITY FOR APPLICANT TO STy l PPLICANT TO�FILL IN _NcRoEss sr. A,4 LEGAL OWNER DESCRIPTION LOT N0. _ AIL BLOCK TRACT' ,MDDRESS NO.OF SLDGS. CITYTEL. N0. SIZE OF LOT NOW ON LOT _ USE OF - — V-} DISTRICT N0. i GROUP MAP BUILDINGS _ -_ _ PG CONTRACTOT p ?a l ADDRESS �t_-- ;-- y CONNECTION DATA — — ±" STATION .-'- Z -r") � DEPTH :f -_- CITY�, TEL, NO.yC MANHOLE REFERENCE C t' LONER .. REGISTRATION N0. `�Jf `� -� COUNTY - `� No. 1 DESCRIPTION OF WORK FEE — ----- -- ----- HOUSE SEWER CONNECTING TO — STYPE OF CONNECTION LENGTH FROM e _ PUBLIC SEVER-_ - r $3.50 _ - 1 i CURS- P,L. M.L. TO P.L. - SEPTIC TANK,SEEPAGE PIT OR -- - --- _ f PITS AND/OR DRAINFIELD_ !cl$3.00 ^FOVERFLOW SEEPAGE PIT DRAINFIELD � P. C. N0;CO. IMP. MO. 1 - _I-EXTN ,CESSPOOL;DRYiELL,MANtiO!E fin: $2..00) -� --JOB NO. { --- — HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM (q-, R 1.00_I ; __ TRUNK PERMIT NO._-_T—_ ROAD PERMIT N0: _ CONNECT ADDITIONAL.BLDG.OR —^ ! i - STATE ENCROACHMENT -----"— --_ --- WORK TO HOUSE SEWER _(0711 $1.00 PERMIT NO. -- i ALTER,REPAIR OR ABANDON HOUSE {-^— r-�-- --- -----� r SEWER OR DISPOSAL SYSTEM � $I.O� I INDUSTRIAL ' - -- ------` - ----- --- - I------ WASTE APPROVAL J �� CHARGES CONNECTION-CHARGE FEE OWNER°S PERMIT $ I 00� -- - — -- -- --- REIMBURSEMENT FEE AUTHORIZATION -TOTAL FEE e f `"e I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE �INSPECTOR'SSIGNATURE — --- TRACTOR TO CONNECT SIGNED THI$C S THE ABOVE DESCRIBED EXI INC D' FEEING ` NEW HOUSE S£41ER L NF Y OF 19°-= CONNECT ADDITIONAL OWNER OR '.. BUILDING OR WORK -_�_s__.----^`.----- OWNERS AGEN3 SEPTIC TANK,SEEP PIT(S) ADDRES5_ "8' AND/OR DRAINFIELD_-�- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOLD DRYWELLE] .AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER OR � PLUMBING AND SEWERS, SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I A14 PROPERLY REGISTERED AND' 'OR DISCONNECT PLUG AND .LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON.HOUSE SEWER CALIFORNIA OR THLATIAL I THE LEGAL OWNER OF THE �v^J DESCRIBED RESIDENTCPER'Y �,;" �; �. BACKFILL SEPTIC TANKS EI SIGNATURE . - ---- T a' ' r� SEEP.PIS) F-1CESSPOOLS0 -. . - ---- -- I OF PERMITT i JOHN A.LAMBIE. LINTY ENGINEER y—VALIDATION ROBERT A.WOOD, CHIEF f LBG. INSPECTOR ,y O. BASH - - 4.5 f E-663 4±•85 11 9 E•8APPLICATION FOR PERMIT- DIVISION 8& - DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Depcirbnent of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE.COUNTY ENGINEER ADDRESS CASSATT D, GRIFFIN, SUP"T OF BUILDING LOCALITY -� NEAREST r FOR APPLICANT TO FILL IN CROSS ST. . 'LEGAL OWNER — DESCRIPTION LOT NO.v — ��_ .-- MAIL — BLOCK TRACT _ADDRESS; )® —�— NO. OF BLDGS^ ---- `�y TEL, N0. SIZE OF LOT NOW ON LOT C4TY4 USE OF - v--'� ---- DISTRICT NO. GROUP MAP BUILb,NGS ' �_ BK PV.. CONTRACTOR ADDRESS + CONNECTION DATA_ —_ 4, - - r STATION y rgy= DEPTHp� CITY ' liT� s� TEL. NO. g —�{ r ° -- ' MANHOLE REFERENCE KG✓ _. — WER Q-•nS7ATE. REGISTRATION NO. ' ,,,�;'.- r ❑ COUNTY . NO. DESCRIPTION OF WORK FEE ------ — — —__ --- --- - - -- _-- — -- -- TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO . CU .P.L._ .._ PUBLIC SEWER to $ 3.501— RB P.L. M.L.T I .r �. ._. -----.._ - ------ j SEPTIC TANK,SEEPAGE PIT OR j PITS AND/OR—� DRAiNFIEL_D __ 4ti $3.00 RFOVEL6W SEEPAGE, IT DRAINFIELD j P. C. NO.. _— EXTN.,C SSPCOL,DRYNt'LL MANHOLE_(—$2.00 —. CO. [?d P. NO. 10B h70. . . _-- HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM (�� S 1.00 I TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL RLDG.OR STATE ENCROACHMENT --- _; WORK TO HOUSE SEWER_ Ep) $i.00 I PERMIT NO. ALTER;REPAIR OR ABANDON HOUSE _ _ — --�--- — -- -i ----- — - ---- - — SEWER OR DISPOSAL SYSTEM (� $1.00 i I INDUSTRIAL _.--- ---- —.-------- L:T_ WASTE APPROVAL f � Y CHARGES ---�----�-------�--�_ --._ ��. CONNECTION CHARGE FEE --------- --�----- OVVNF:R`S PERMIT 5� 1 00 ----- _--- -------- REIMBURS.EMENT FEE AUTHORIZATION - TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE (INSPECTOR 5SIGNATURE TRACTOR Tn CONNECT THE ABOVE DESCRIBED E'±STING DWELLING TO THE PIJBLIG 5Ekr NEW HOUSE SEWER SIGNED THIS C DAY OF Z " 19� CONNECT ADDITIONAL 1 OWNER OR BUILDING OR WORK OWNERS As�E EPTIC TANK,SEE- PITS t ------ ND.'OR DRAINFIELD --- i HEREBY ACKNOWLEDGE THAII HAVE READ THIS APPLICATION CESSPOOLD DRYWELL!� I .� AND STATE THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY - W!T'H ALL COUNTY ORDINANCES AND STATE -LAWS. REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. _SEWAGE_DISPOSAL_SYSTEM _I ' HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND �V LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE .ABOVE ABANDON HOUSE SEWER — DESCRIBED RESIDENTIAPROPERTY BACKFILL SEPTIC TANKS G SIGNATURE s .rd SEEP PIT(S, DESSPOOLS L] I _� OF PERMIT'( P•.,a <' � — —i------ -- i JOHN A, LAMBIr6, OUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR 6K..1 N. 0. CASH - - 557 2 4 45