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Home My Public Portal About5356 PARMERTON AVE_Sewer__ CEBDR 3 °` 76A642D D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING w OfR! A LAMBIE Cou.tT EDgqw�noor ADDRESS Wim"A IENSEN Sup I of Build)DQ LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST AL l2nl T� A DESCRIPTION LOT NO OWNER MAIL BLOCK TRACT ADDRESS h G NO OF OLD08 _} _\ SIZE OF LOT NOW ON LOT CITY 1 )')'[ LE@ I ( TBL NO BUILDINGS 01 DISTRICT NO GROUP MAR P OCEBS[D BY BUILOIN06 J/ sed CONTRACTOR '1/O G Pv R ADDRESS f v - ✓ CONNECTION DATA CITY TEL NO - 6 -74 -3 STATION DEPTH eT [ UPPER REGISTRATION NO 'LI COUATNTY MANHOLE REFERENCE LOWER NO DESCRIPTION OF WORN F[E TYPE OF CONNECTION LBN HFROM HOUSE SEWER CONNECTING TO Y CURB L M TO P L PUBLIC B[WER ® S500 SEPTIC TANK SEEPAGE PIT OR P CL ITS AND/GR GRAINFIELD ® slow LO IMP NO O D- HOUSE SEWER CONNECTING TO TRUNK PERMIT Nry 0/,D P6RMIT NO O PRIVATE DISPOSAL SYSTEM ® S3-0 CONNECT ADDITIONAL BLDG OR AFFIDAVIT 1 ReIY qEE RECORD INSTR NO AT[ Ltl WORK TO HOUSE SEWER O SS OO Q OVERFLOW SEEPAGE PIT GRAINFIELD f ERTH CESSPOOL DRYWELL MANHOLE O SB 00 rU ALTER REPAIR HWY OR ILL dL 6[w[fl M O $3 CO STATE ENCROACHMENT a PERMIT NO Z INDUSTRIAL WASTE APPROVAL CHARGES OWNERSPEA s 2 00 AUTHORIZATION TOTAL CONNECTION CHARGE FEE—FEE IT AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR B SIGNATURE SIGNED THIS DAY OF 78_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK SEPTICTANK SEEP PIT(S) 1 HERESY ACKNOWLEOOE THAT I HAVE READ THIS APPLICATION ,ARD/OR GRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THATAM PROPERLY REGISTERED ANO/OR ALTER REPAIR SEWEROR g ` LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM / CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY ABANDON HOUSE SEWER SIGNATURE OP PERMITTEE BACKFILL SEPTIC TANKS ❑ BEEP PIT(9) ❑ CESSPOOLS OALIDATION ROBERT A WOOD KM o CASH SUPERVISING MECHANICAL ENGINEER 4 4 7 9:d APR 3 0 1 0 D 5.00— aa�6631155 APPLICATION FOR PERMIT 1 DIVISION OF WELDING AND SAFETY SEWER—SEWAGE DISPOSAL Dep. ant of County Engineer County of LOB Angeles BU ADDRESS 3 (e JOHN A LAMBIE COUNTY ENGINEER ® CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL DESCRIPTION LOT NO Z OWNER r•- MAIL BLOCK TRACT ADDRESS _ NO OF BLDGS CITY TEL NO SIZE OF LOT NOW ON LOT USE OF BUILDINGS DISTRICT NO GROOc If OUUP MAP _ ec/( aL V V ` CONTRACTOR ' r ADDRESS CONNECTION DATA CITY �- Nom rTEL NO / STATION DEPTH MANHOLE REFERENCE UPPER STATE LOWER REGISTRATION NO 12— ❑ COUNTY r No DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO Y CURB P M L TOP L TYPE OF CONNECTION LENGTH FROM PUBLIC SEWER Q $3 50 _ SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD ® S 3 00 OVERFLOW SEEPAGE PIT DRAINFIELD ,CO IMP NO JOB NO Q EXTN CESSPOOL DRYWELL MANHOLE Q $Z 00 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM (H S 1 00 TRUNK PERMIT NO ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER Q S 100 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM Q $1 WASTE APPROVAL AR CONNECTION CHARGE FEE OWNER'S PE1tMIT $ 1 OD AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON APPROVALS DATE INSPECTOR SSIGNpTU RE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS AY OF 19_ CONNECT ADDITIONAL lu OWNER OR BUILDING OR WORK OWNERS AGENT SEPTICTANK SEEP PIT($) ADDRESS AHD/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWEROR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNT DISCONNECT PLUG AND ND STATE OF ABANDON HO PLUGD CALIFORNIA OR THAT I AN THE LEGAL OWN F THE ABOVE DESCRIBED RESIDE NTI ROPER BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT(S) ❑'CESSPOOLS❑ OF PERMITTEE JOHN A LAMBIE COUNTY ENGINEER ALIDATION ROBERT A WOOD CHIEF PLEIG INSPECTOR Y O G9H LACo 4 4 1 2 SEP 2 1 A 2.00 n C 41 nEPARTSMNT OF COUNTY ENGLVE'ER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES _ - _ WILLIAM J. FDX, COUNTY ENGINEER II ADDREBUILDING SS FOR APPLICANT TO FILL IN LOCALITY BUILDINGNEAREST ADDRESS - 35O ?A-IV_µ412lG_ML_) CROSSST LOCALITY —^tr PL` C L DISTRICT NO SE,{RI A.{L NO l/�(/y� ��f PERMIT NOP_ NEAREST CRO6S ST f}LIC SS S RECEIVED BY Rudy for InePeetwo DATE ISSUED OWNER C JLAX) II 'f74 Z PEL�GC tyS �— Z -' `1 /per MAIL ADDRESS ',� 3�{O YATLU,,L,-Y .ru tj USE ZONE OrCC`UPPA,N,CY /BIC MAP PIS CITY TL'-r/$Pk C_Vty TELNO F,, C)S7-7,7 A -f CONTRACTOR Sof` DO IMP NO -- i ADDRESS JOB NO r / CITY TEL NO TRUNK PERMIT NO / STATE \ REOISTflATION NO 8 COUNTY ROAD PERMIT NO LEGAL DESCRIPTION LOT NO STATE ENCROACHMENT B Z PERMIT NO ) BLOCK TRACT 13(,13 INDUSTRIAL / WASTE PPROVAL NO OF LOG SIZE OF LOT (o p X /G U NOW DID LOTS CHARGES USE OF BUILD,MOS (,Q, CONNECTION CHARGE FEE NO DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTINS TO PU BLIC 8EWEp ® 350 RECEIPT MOI DATE IBV HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 100 CONNECT ADDITIONAL BLDG OR EXCEPTIQN RECORDED WORK TO HOUSE SEWER I DO - bD. NO I DcTE By 6 ALTER OR REPAIR EXISTI NO l SEWER OR DISPOSAL SYSTEM 100 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 DD CONNECTION DATA SEPTIC TANK SEEPAGE PIT OR , PITS AND/OR GRAINFIELD 2-00 STATION DEPTH CESSPOOL-DRVWELL SPECIAL CONDITIONS ONLY 200 MANHOLE RE ERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT Sy CURB P L M L r0 P L I 00 AUTHORIZATION I TOTAL FEE 7 D a I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR B SIGNATURE DATE DWELLING TO THE PUBLIC SEWER 1 SIGNED THIS DAY OF__ _Iq_ NEWHOUSE SEWER '- CONNECT ADDITIONAL OWNERS AGENT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ �BUILOINOOR WORK yy IS AND%OR DRAINFIELDIT (8) / I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLI• CESSPOOL 0 DRVWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR SEWEROR REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSED AS REQUIRED-BY LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CALL RNA Ofl THAT 1 TKE LEGAL OWN ABANDON HOUSE SEWER ER OF THE ABOVIBEn e• RE ^ A PROPERTY BACKFILL SEPTIC TANK SIGNATURE SEEP PIT(S)E] CESSP00 L8 OF PERMITTEE - �'� 76AC42A 668 7/53 ' /rJ