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Home My Public Portal About5706 ROWLAND AVE_Sewer__ 16A 6426-C I E8,08-10-71 APPLICATION FOR PERMIT • I 'fl COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY 7t T FOR APPLICANT TO FILL IN CROSS NEARESST._ DESCRIPTION LOT NO. OWNER BLOCK TRACMAIL f( ADDRESS NO OF BLDG$. SIZE OF LOT ON LOT CITY TEL. NO USE OF DISTRICT NO;gUP MAPI KE E y BUILDINGS BK PG CONTRACTOR ADDRESS CONNECTION DATA STATION DEPTH CITY TEL- NO. LIC UPPER LICENSE NO. CLASS MANHOLE REFERENCE LOWER NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER @ $7.00 P.C.NO. SEPTIC TANK.SEEPAGE PIT OR CO.IMP.NO. JOB NO. PITS AND/OR DRAINFIELD @ $10.00 HOUSE SEWER CONNECTING To TRUNK PERMIT NO. ROAD PERMIT NO, Q. PRIVATEDISPOSAL SYSTEM @ $3.00 0 CONNECT ADDITIONAL BLDG.OR RECORD.INSTR.N DATE WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN..CESSPOOL.D RY WELL. @ $5.00 0 ALTER,REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING - SEWER OR DISPOSAL SYSTEM 83.0_0 u STATE ENCROACHMENT Lu MANHOLEPERMIT NO. CL @ $7.00 INDUSTRIAL V) WASTE APPROVAL z OWNERS -PERMIT E 3 00 CHARGES AUTHORIZATION I TOTAL FEE 1CONNECTION CHARGE FEE-,: I HAVEAT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTO R T 'INECT THE ABOVE DESCRIBED EXISTING DWELLING 0 Co' TO THE P USLIC SEWER, APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS-DAY OF-19- OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS-— SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMS ING AND SEWERS. CESSPOOL 0 DRYWELL IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY 'LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I W THE LEGAL OWNER OF. AND INTEND TO DISCONNECT PLUG AND RESIDE THE ABOVE 'BED RES40ENTIAL PROPERTY. IN, A� HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKSO OF PERMtTT(r SEEP,PITS) E3',CESSPOOLS ❑ VALIDATION C14. M.O. CASH 2 q J J��.)'t- 7" r l 7 ft 6 ,' ,APPLICATION FOR PERMIT P' 7&K 642. � � eOEG�'t�v s?!F LOS ANGELES SEWER-SEWAGE D18F' SAL,T OF COUNTY ENGINEER AND SAFETY DIVISION BUILDING r- �j JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS .� C'� �� %-�✓��/ uti!EMAN W. JENKINS. SUPT, OF BUILDING {6,. LOCALITY F ..Z�`f FOR APPLICANT TO FILA. IN C.. ST. ` 41 C.� a� LEGAL ��fyy..rr--rr,, �qJ DESC RI FTPON lOT NO. :v, ? F i' �' --G`CJ CW NERe `d� y/�.. �� "T MAIL BLOCK TRACT "^.� ADDRESS NO. OF SLOGS. �. SIZE OF LOT NOW ON LOT CITYTEL. USE OF n BUILDINGS (� f "� D78TRICANO. GROUP MAP PROCESSED BY ISK CONTRACTOR.,` ADDRESS { - .'r j __ F.p t"It. "i �yCONNECTION DATA CITY �. \,�, 1-�2�c�? ' TEL.. NO. �',7b" �� STATION O� r DEPTH :STATE } Z-- LIC LICENSE NO, 4.-� CLASS �= MANHOLE REFERENCE --J�'',�,,` .� No. DESCRIPTION_ OF WORK FEE --- --� LOWER _ _ TYPE OF CO �F,ON LENGTH FR J HOUSE SEWER CONNECTING TO � '+ ,a..r. _Y_ URB �' p,L. M.L.TO p. i s PUBLIC SEWER .$5.00 �' p,C.NO. SEPTIC TANK,SEEPAGE PIT OR CO.IMP.N .. (! JOB NO. PITS AND/OR DRAINFIELD @ $10.00 -- _ ( _..._..__ .— HOU SE SEW£R r_ON NECTING T6 TRLNK PERMIT NO, ROAD PERMIT NO. Q. PRIVATE CISPOSAL SYSTEM $3.00 C OIJNECT ADDITIONAL BLDG.OR tom- ApFIDAVIT WAIVER EASE7M ENT REC ORO,INSTR.N�OOATFE NZ-T-0 ORK TO HOUSE SEWER $3-00 -- ' OVERFLOW SEEPAGE PIT,GRAINFIELD I EXTN CESSPOOL.DRYWELL,MANHOLE @ $'S 00 j O t AALTER REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING SEWER OR DISPOSAL SYSTEM STATE ENCROACHMENT CL �___-__.T _ I PERMIT NO. Z --' --- -*--- INDUSTRIAL WASE APPROVAL j CHARGES OWNER'S PERMIT-AAAA-- S! z; Oo - - — AUTHORIZATION TOTAL FEE '$ i CONNECTION CHARGE FEE - - IHAVE AT THIS DATE A,CO' ACT WB ITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TG..CONNECTI ABOVE .ESC IBED EXISTING DWELLING TO THE PUBLIC SEWEF APPROVALS , DATE INSPECTORS SIGNATURE SIGNED THIS �IpY...1 V— i 'L 1 a'' OWNER OR I � NEW HOUSE SEWER I: OWNERS AGEN I CONNECT ADDITIONAL ADDRESS SU ILDi NG OR WORK I SEPTIC TANK,SEEP,PIT(S) 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/CR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING ❑ PLUMBING AND SEWERS !��LL CESSPOOL [I DRYWELL I HEREBY CERTIF THAT, AM dVtgrERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR LICENSED AS REQ RED OS GI..ES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR T AT 1 A T E L Alr7 R OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, TH VE EOWNS RIB i'�ESAL PROPERTY.ID ABANDON HOUSE SEWER SIGNATURE - �- ---- OF PERMPTTE BACKFILL SEPTIC TANKS ❑ ..9. j SEEP.PIT(S) ❑ CESSPOOLS 01 - V;UIDATION JACK R. ALLEN J SUPERVISING MECHANICAL ENGINEER CIC M.O. CASH 161f' 642L` E8D8,.-'°-" APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL DESCR PTION LOT NO. OWNER MAIL BLOCK TRACT ADDRESS \V•�• � \..,�'T� NO. OF BL GS. '+'1 SIZE OF LOT NOW ON LOT CITY •`F"` ��"" TEL. NO. G� USE OF BUILDINGS DISTRICT NO. GROUP I MAP PROCESSED BY _ /��y"/��/ BK P, CONTRACTOR �/ (JAI /u ` ADDRESS 70 t. N � W � ,�� CONNECTION DATA CITY — TEL. NO. STATION DEPTH STATE LIC MANHOLE REFERENCE UPPER LICENSE NO. CLASS LOWER NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER 0 $7.00 P.G.NO, SEPTIC TANK,SEEPAGE PIT OR CO.IMP.NO. JOB NO. PITS AND/OR GRAINFIELD @ $10.00 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. CL DISPOSAL SYSTEM @ $3.00 O CONNECT ADDITIONAL L.G.BOR AFFIDAVIT WAIYEII [Asc PENT RECORD.INSTR.NO. DATE U WORK TO HOUSE SEWER, @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD _ _ C EXTN..CESSPOOL.DRYWELL, $5.00 ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING O SEWER OR DISPOSAL SYSTEM $3.00 IW — -STATE ENCROACHMENT MANHOLE $7.00 PERMIT NO. y CL -------- ---- INDUSTRIAL `` H WASTE APPROVAL . /' 7 /u" '7t- Z_ OWNERS PERMIT S 3 00 CHARGES AUTHORIZATION TOTAL FEE J_ O C> CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS �ry DAY OF )t� I9_ OWNER OR �( .,/� NEW HOUSE SEWER OWNERS AGEN L.^' C tgl CONNECT ADDITIONAL "�'� BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING n PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL I-.1 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REOUIR BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR TH I LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE E SC I D ES IDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE ❑ OF PERM"T BACKFfLL SEPTIC TANKS -- 0 SEEP.PIT 1.) ESSPOOLS ❑ M.°• CASH VALIDATION CK. ,