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Home My Public Portal About9958 OLIVE ST_Sewer__ 781E-66 fi a E-583 12•54 APPLICA'T'ION FOR PIERIVIIT,',• DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING WM.J. FOX, COUNTY EIaGINEER _ADDRESS CASSATT D, GRIFFIN,SUPT OF BUILDING LOCALITY ,,,._ FOR APPLICANT TO FILL IN `NEAREST zs,y r % CP.OSS ST. j ,+„ y LEGAL r re DF�SCRiPTION LOT N0. ., OWNER - BLOCK - TRACT 1 MAIL - ADDRESS SIZE OF LOT W L � NO'X ON LOT CITY :. 7Ei. NO. USE OF _.. BUILDINGS DISTRICT N,O. I GROUP MAP �. BK PG CONTRACTOR X, �_—�- ADDRESS '# CONNECTION'` DATA CITY TELr�.141-0-- STICTION DEPTH L� STATE - MANHOLE REFERENCE - REGISTRATION NO. J COUNTY _ �-` _ UPPER LOWER TYPE 0 'C.ONNECT10N -- LENCTUIfROM .-.---__ NO. 1 DFSCRIPTION OF WORK FET: _Y• CUR P.L. �M I P.L. HOLaE.SEWER COMNEC7ING TO ' PUBLIC SE VER q $3.60 ---- HOUSE SEWER CONNECTING TO �.� PRIVATE D;SPOSAL SYSTEM_ 1.00_, CONNECT ADDITIONAL BLDG. OR ;� lJORN.TO HOUSE SEWER_ 1.00 I {�^ -CO. IMP. N0. JOB "NO.- I ALTER OR PFPAIP EXISI'iNG SEWER OR DISPOSAL SYSTEM_ 1.00 j � TRUNK PERMIT NOV ROAD ROAD PERM'I-T-NO. DiSCONP LCT AND ABANDON SEWER —�, -tea —I STATE ENCROACHMENT �.�- -- AND'OR DISPOSAL SYSTt.M_ _ 1.00 111 PERMIT_NC, SEPTIC TANK SEE.-AGE AGE PIT OR _ -,.�"�'--.-""- -- --- _PITS AND/OR DRAINFIELD 2.000 i iNDl15TR'9'-AL ' CESSPOOL-DRYWELL - - -I i'—"- WAST,-APPROVAL f SPECIAL CONDITIONS ONLY 2,00 _ CHARGES - CONNECTION CHARGE FEE OVINER"S PERI'2'iT - 1 000 — AUTHORIZATION I TOTAL FEE RESSI13URSEb1ENT FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE !NSPECTOR'S SIGNATURE TO THE. PUBLIC SEWER NEW HOUSE SEVER SIGNED THIS. DAY CF. - 0WNFIR OR CONNECT ADDITIONAL WORK - BUILDING OR W C:WNCkS AGENT -' ._._ -- SEPTIC TANK SEEP,PIT($) 1114 - ADOREsS------ _ -----. ANDi OR DRAINFiELD I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL 0 DRYWELL❑ AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR, SEWER OR PLUMBING AND SEWER$. _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 DISDISCONCONN HOUSE SEVER___ CALIFORNIA OR THAT I AIA THE LEGAL OWNER OF THE ABOVE --- DESCRIBED RESIDENTIAL PROVER-1Y. BACKFILL SEPTIC TANKS❑ SEEP.PIT(S) [I CESSPOOLS CI SIGNATURE _-~��.- OF PERMSTTEE' WILLIAM J. FOX, COUNTY VALIDATION 4 � t0 7 5 '7 i� FEB 2 1 4 .CI BY BY DEPUTYt..pr�i �, ,,, ,,.> .DEPUTY BY BY ddb OF DEPUTY . DEPrJTY E4 S&E'•663 3.55 APPLICATION FOR PERMIT- -` �' 1 S& 6S �� -.. DIVISION OF BUILDING AND SAFETY SEWER--SEWAGE DISPOSAL Department of County Engineer Count of Los Aa eles BUILDING Y 9 ADDRESS ✓ Ste'. rw-lr' WM.J. FOX, COUNTY ENGINEER CASSATT D,GRIFFIN,SUWT O OUILDING LOCALITY NEAREST` _ �+ FOR APPLICANT TO FILL IN LEGAL — - DESCRiP71GN OWNER — BLOCK � TRACT — -- — MAIL _ ADDPESS _ � 9 —N0. OF BLDGS- SIZE OF LOT' ? l: NOW ON LOT CITY - TEL. NO., USE OF BUILDINGS '� �, DISTRICT N0. t GROUP MAP BK PG CONTRACTOR :� � _..—_?—�_..—.-,_I._:_._..L�. .y.•..% ADDRESS CONNECTION DATA CITY a a TFL NO. STATION _ �;,� �: DEPTH- ... — — STATE MANHOLE REFERENCE �* —� — UPPER_.. REGISTRATION N0. COUNTY _—e--- —�_L-,.t.�.r.... .,'_Z4 -- -N� DESCRIPTION OF WORK FEE ---- Y .- -- — ------ - TYPE OF CONNECTION LENGTH FROM p j —riOUSE SEWER CONNECTING TO I ,,� .- _ CURL �rY,J� N.I.L. TO P,L._—�y_�_ _ PUBLIC SEWER _ @ $ 3.50 i _ HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYcTEWI 1,00 ---a----_— ----------__.__...—_�_.—__a...—.— CONNECT ADDITIONAL BLDG. OR PC NO. —` ORK-TO HOUSE SEWER 1,00. .,� .._C0. I.AgP. NO /��—YJOB NO_�,T� ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM_ 1.00 TRUNK PERMIT NO. ROAD PERMIT NO, `F. �� ✓ �ISCONNE C7„ND AB 1'DCN S�iYER STATE ENCROACHMENT __� AN DIOR DISPOSAL SY�7E'k _ 1.00 PERMIT NO. SEPTIC TAN SEEPAGE P-T OR - --..—_ .... PIT AND/OR DRA i FIELD _ _ .2.00 INDUSTRIAL. CESSPOOL-"DRY-WELL WASTE APPROVAL SPECIAL CONDITIONS ONLY 2.Q0 — CHARGES CONNECTION CHARGE FEE ry� O'VVh1T^rR'S PERMIT `- S 00 -------- ---------------------- — ---- At7TTI®T I ATIO i T®TAL FEE .4.. REIMBURSEMENT FEE v`i I HAVE THIS DATE CONTRACTED WITH THE HERrld TAMED CON- ^g� Taw CON- TRACTOR TO CONNECT THE ABOVE DESCRIBE[) EXISTING DWELLING APPROVALS DATE �tNSPECTOWS SIGNATURE TO T E PUBLIC SEWER, NEW HOUSE SEWER i SIGNED TH{� -gAy OF L_> I- - OWNER OR - CONNECT ADDITIONAL OWNERS AGENT _' _ BUILDING OR WORK , � SEPTIC TAF1K,SE!FP, PIT(S) ADDRESS "' -- - ' AND/OR GRAINFIELD I HERER ACKNOWLEDGE THAT !'HAVE READ THIS APPLiCATCON CESSPOOL❑ DRYWELL Cl AND STATE THAT THE ABOVE 1.5 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. ALTER, DISPOSAL SYSTEM LTEAR,REPAIR,SEWER OR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -W--"----"" LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAF I AM THE. LEGAL �kWNER OF THE ABOV ABANDON HOUSE SEWER _ DESCRIBED /RRj4S[[ZENTlAjL PRVERTY /,,"v � -' . 'h ' BACKFILL SEPTIC TANKS G — }GI't'R'fbR�r SEEP. PIT(S)❑ CESSPOOLS a OF PER ITTEE. WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR °SA6420 i F-663 11.85 APPLICATION FOR PERMIT �� . ,r- y & DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County os of LAngeles BUILDING ' JOHN A. LAMBIE, COUNTY ENGINEER - ADDRESS CASSATT TJ. GRIFFIN, SUPT Or BUILDING LOCALITY r g A 7ESCRIPTION OR APPLICANT TO FILL IN NEAREST T. t �` LOT N0, bG� yOWNER 4TRACT MAILADDRESS N0.OF BLDGS. -- 7T ---- SIZE NOW ON LOT :m°'" CITY TEL. N0. �`)_, USE OF d - DISTRICT N0, GROUP MAP BUILDINGS '� : J BK PG -CONTRacTOR ADDRESS e°r� _ _ - CONNECTION DATA DEPTH CIT W A r . TEL. N0. ---- - — MANHOLE REFERENCE UPPER TATE ------------__� —_�_— LOWER REGISTRAT N PGC)_ _ ' $� ❑ COUNTY — No. DESCRIPTION OF K FEE - —.--- - —._---------------.—.--- HOUSE SEWER CONNECTING TO. I-`— TYPE OF CONNECTION LENGTH FROM _ Y. CURB P.L. M.L.TO F.L. ___jPUBLIC SEWER _ �N. $i,SO i. -- -._--_ _PITS IC TANKD/OR SEEPAGE IEE-__ ---- -- ' SEPTIC TANK SEEPAGE PIT OR ,f ✓ D 41�$3.00 " —�...--. :l 7&4. -{ OVERFLOW SEEPAGE PIT', DRAINFIELD --- P C. NO. EKTN.,CESSPOOL,DRYWELL,MAN HOLF L" $2.00 �— Co. IMP. N0, HOUSE SEWER CONNECTING TO - PRIVATE DISPOSAL SYSTEM TRUNK PERMIT NO. ROAD PERMIT NO. "--CONNECT ADDITIONAL BLDG..OR STATE. ENCROACHMENT WORK TO HOUSE. SEWER ! $1.00 I PERMIT NO. ALTER. nqd=-sdAeBR'rcB6N HOUSE — --- --------- --- -- -------- INDUSTRIAL SEWER G. DS°� Y�T?".hf s� S 1.00 I— WASTE APPROVAL . - CHARGES -- --_..�_--- - j----' CONNECTION CHARGE FEE OWNER'S PERMIT REIMBURSEMENT EEE ----__ _.— AUTHORIZATION —TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE 4fREIN NAMED CON- __ APPROVALS DATE_ _INSPECTO1i S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED E'.415TINfs DWELLING i I TO THE PUBLIC SEWER. NEW HOUSE SEWER SIGNED THIS DAY OF - _. _-IS —, CONNECT ADDITIONAL OWNER OR BUILDING OR WOR{ OWNERS AGENT--,.------- SEPTIC TANK,SEEP PIT(S) -- '- p+�y, AN OR DRAINFI E'D ADQRESS �x a� f/,�,e � �_�.r _._ -. __ I HER BY ACKNQXI_EDCE THAT 1 HAVE READ THIS APPLICATION CESSPOOLD DRYWELL 17 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— 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND,%OF. DISCONNECT PLUG AND � LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE. OF i CALIFORNIA aOR THAT { #M T E LEGAL OWNER OF ABOVE ABANDON HOUSE SEWER DESCRIBED - PF OBACKFILL SEPTIC TANKS f ryA IARf SEEP. P17( 1 ` CESSPOOLS ] -- f P ER M y - --- -- --- ---- --- JOHN A. LAMBIE, COUNTY E INEER VALIDATION--: ROBERT A. WOOD, CHIEF PLBG. INSPECTOR GK. M. Q. QASH