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Home My Public Portal About4837 RIO HONDO AVE_Sewer__ E80: 6t 6A642D3- APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSI L DEPARTMENT OF COUNTY ENGINEER w BUILDING AND SAFETY DIVISION BUILDING JOHN A, LAMBIE, County Engineer ADDRESS (j, 5 WILLIAM A. JENSEN, Sup'! of Building LOCALITY.. JNEAREST i,, FOR APPLICANT TO FILL IN CROSS sT. .- LEGAL DESCRIPTION LOT NO. 1>/, OWNER p L7 BLOCK TRACT ' MAIL ADDRESS 440.OF BLDGS, SIE OF LOT NOW ON LOT CITY' TEL. NO. Z USE OF BUILDINGS 42 DISTRICT NO,, GROUP MAP PROCFASED By BK PG CONTRACT/ 'Y ADDRESS, )r CONNECTION DATA 7— CITY ++ TEL.NO. V44 �el_tl STATION 1DEPTH /Z I X D 4 _VS,TA' STATE MANHOLE REFERENCE COUNTY T REGISTRATION NO, _!4S CO,- N Y NO. I DESCRIPTION'OF WORK FEE HOUSE SEWER CONNECTING TO C PUBLIC SEWER @38:00 _c'I TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3.00 CURB P.L. M.L.TO P,L. OVERFLOW ' INFIELD XT FLOW SEEPAGr SPOOL PIT'DRAINFIELD @ $2.00 E N.,CES DRYWELL CL E SEWER CONNECTING TO P.C,NO 0 PR A H 0 W"TE DISPOSAL JOB NO. CONNECT ADDITIONAL BLDG,OR HOUSE SEWER $1.00 TRUNK PERMIT NO. ROAD PERMIT w0 WORK TO H ALTER,REPAIR OR ABANDON HOUSE SEWER OR DiSPOSAL SYSTEM $1.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE —REIMBURSEMENT FEE I HAVE AT DATE A CONTRACT WITH THE HEREIN CON- TRACTOR TO THIS CONNECT THE ABOVE DESCRIBED EXISTINGNAMED DWELLING APPROVALS DATE hNSHECTOR'S SIGNATUR TO THE PUBLIC SEWER. SIGNED THISDAYOF 9— NEW HOUSE SEWER OWNER.OR CONNECT ADDITIONAL OWNERS AGENT— BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL [I DRYWELL 0 WITH ALL COUNTY ORDINANCE3 AND STATE LAWS REGULATING PLUMBING AND SEWERS. ALTER,REPAIR,SEWER OR -- U SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND I HE EBY LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER D LCALIPORN'A OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEPW PROPERTY. BACKFILL SEPT TANKS C1 SI 'ATU JAL PROPE SEEP.PjTi �SEPTIC SIGNATURE I, OF PERMITTEE VALIDATION ROBERT A. WOOD CK. Y.o. CASH SUPERVISING MECHANICAL ENGINEER EE & APPLICATION FOR PERMIT 'i&E-56668 11-SS DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Loa Angeles BUILDING JOHN A, LAMBIE, COUNTY ENGINEER -ADDRESS CASSATT D. GRIFFIN, SUP r OF SU.ILDING, - LOCALITY _ NEAREST _------FOR APPLICANT TO FILL IN_—--- CROss LEGAL DESCRIPTION OT NO. ~, _ OWNER BLOCK TRACT V----._� ,7 --- MAIL 2>� ,F ADDRESS NO.OF BLDGS. __"r C%TY_ TEL. N0. _ SIZE OFLOT' NOW ON LOT -- USE OF ---- BUILDINGS-- ,� _y.-. DISTRICT N0. i CROUP MAP - BK PG _CONTRACTCL CONNECTION DATA �. T , A D D R E SS " "-_ —-----— --- -- --- -— �+ STATION CITY TL �•- E .NO..-:" ----- --i�^-`- =% MANHOLE REFERENCE _. O STATE "p x "� f LO IER.-. .REGISTRATION N0. if ��_ _ ' •..� 'z"...1,,,,.1°� .. KTN�'v NO. i DESCRIPTION OF WORK FEE ✓ —._ -- --- -- -- ------ -� TYPE OF CONNECTION ttNGTH FROM { HOUSE-SEW ER CONNECTING-TO_- CURB P L � M L. TO P L -- -- - ._-_ — _ '> --- PUBLIC SEWER $3,5U a SEPTIC TANK SEEPAGE PIT OR �_-- -- ^- -_- - PITS AND/OR DRAT d IELD $3.00 ---. -- ---- _— OVERFLOW SEEPAGE PIT DRAINFIELD - P C NO, r � EFIN.,CESSPOOL,1'RYWFLL,MANHOLE 2.00 CO_ IMP. Nfl_--- --- HOUSE.SEWER CONNECTING TO --- --- A - PRIVATE DISPOSAL SYSTEM (iv $1.00 j TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR f d WORK TO HOUSE SOWER (� TATE ENCROACHMENT (_ - $1.00 j. - '' PERMIT NO _ { ALTER,RLPA F OR A "NDON HOUSE I - I INDUSTRIAL —fpp-SEWER OR DISPOSALYST EM tcc $1.00 WASTE APPROVAL ._..- .--__ __... — �_ CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT — ----- — ----� —:---- REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE 5-V — ' S HAVE AT THIS DAi'E .4 CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTORSSIGNATURE TRACTOR TO CONNECT THE ABOVEDE,�"CRIBED EXISTING DWELLING C - > 7G THE PUBLIC: SEWER. i_ � NEW HOUSE SEWER f. I SIGNED THIS _DAY OF t3 - CONNECT ADDITIONAL —_ OWNER OR . BUILDING OR WORK OWNERS AGENT ---- - ---_. ---- --- --.._- _._ SEPTIC TANK,SEEP,PITS) ADDRESS P T ANDIOR DRAYNFIELP__itw_ I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONl AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL[] DRYW ELL❑ , 'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMB;NG A[JD SEWERS. SEWAGE DISPOSAL SYSTEM i S HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ -------- r LICENSED .AS REQUIRED BY LOS ANGISCONNECTPLUGANDGELES COUNTY AND STATE OF % CALIFORNIA OR THAT 1 AM THE LEGAL U OF THE ABOVE ABANDON HOUSE - -{-- ,-T .----— DESCRIBED RESIDENTI PROPERTY. r BACKFILL SEPTIC TANKS❑ { - I r SEEP.PIT I S i ❑ CESSPOOLS C1, SIGNATURE 1 E880808 8.58 APPLICATION FOR PERMIT 8 1. COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDINADDRESS CASSATTOHN AD.GRIFFI County Sut aEngineer Building LOCALITY NEAREST LEGAL FOR APPLICANT TO FILLCRDs ST. _.Cj OWNER ' DESCRIPTION LOT NO. r� f( ` ( _ �-?�- r J�� R' BLOCK TRACT �;( 'p'r MAIL , �t ADDRESS NO.OF BLDGS. -71 ��, SIZE OF LOT NOW ON LOT CITY W TEL. NO. USE OF BUILDINGS DISTRICT NO. ROUP ^MAP PROCESSED BY K CONTRACTOR. ADDRESS CONNECTION DATA CITY TEL-NO; STATION DEPTH STATE MANHOLE REFERENCE, I` UPPER REGISTRATION NO. COUNTY LOWER No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE-0 NN£CTION' LEN;$iT33'FROM' SEPTIC TANK,SEEPAGE PIT OR Y. CU P.L. :t;.TO P,L. PITS AND/OR DRAINFIELD @ $3.00 — OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL. DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.N0: PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. i JOB NO. CONNECT ADDI7IONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 TRUNK PERMIT"NO. ROAD PERMIT NO. AL,TFRR; EP- 4114-GR ABANDON HOUSE STATE ENCROACHMENT SEWER GR O;SPOi5-AL SYSTEM @ $1.00 1,� PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OVMEWS PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ? L�V✓' REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. TRACTOR TO CONNECT THE ABOVE DESCRIBED .EXISTING DWELLING APPROVALS DATE INSPECTOR`S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRG5S SEPTIC TANK,SEEP.PITS) ----- _ AND/OR.DRAINFIELD I HEREBY ACKNOWLEDGE,THAT 1 HAVE READ THIS APPLICATION 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 PLUMBING AND SEWERS. ALTER. .DISPOSAI.SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDPoR SEWAGE DISECT PLUG YS LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONABANDON HOUSE SEWER AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF 7HE ABOVE - DESCRIBED RESID-NTIAL PROPERTY. BACKFILL SEPTIC TANKS ❑ SIGNATURE r SEEP.PIT(S) ❑ CESSPOOLS OF PERMITTE � �F VALIDATION,.- ROBERT A. WOOD CK. M.u. CASH SUPERVISING MECHANICAL,ENGINEER i