Loading...
HomeMy Public PortalAbout6214 ROWLAND AVE_Sewer__ oaF T o]r aomvw =Qmzm SEWER--SEWAGE DISPOSAL DrVISION OF BUMDUM AND OJVY PERMIT APPLICATION 1 cour Y OF IAB a GZM gutLDtNe WILLIAM J. FOX, tyllNlt y 1.+mmim ADDRESS. (oZ ( 4= l t ��� ivA i R APPLICANT T FILL IN LOCALITY („ S j T RA'D"i NG ENe ta1STRfOr no, SER IAL.NO. ,/ P/Ep11tT NOi XNARE TY A 4 I 1 0!o 3 s S NF.ARE8T CROSS ST. IVED Rudy Tw loop"da DATE ISSUED OWNERIM I ADDRESS I �, U 6'Z .IIE OCUPANCY BK MAP Pe CITY TEL.NO. CONTRACTOR A Af CO.IMP.N0. ADDRESS AY1, No. M . 6 CITY TEL. 1 TRUNK PERMIT Me. STATE REGISTRATION NO.. 8 COUNTY ROAD PERMIT NO. LEGAL�- STATE ENCROACHMENT DESCRIPTION LOT NO. r� 1"ERMIT N0. �,•�� BLOCK TRACT d IND $TRIAL SIZE OF LOT ISx f �--� NO.OF BLDGS. .Aa t NOW ON LOT " CHARGES USE OF BUILDINGS061GROR CNAR6fi-FE£ NO. DESCIRIPrICIN Or WORK FEE. HOUSE SEWER CONNOTING TO BE ESENT FEE PUBLIC SEWER fLa INIOFIp DATE BY HOUSE SEW CONNECTIMe f'0 PRiVATE DISPOSAL SYSTEM f.N CONNECT ADDITIONAL.BLDG.09 EXC CORDED WORK TO HOUSE SEWER 1.00 ALTER RP IR EXISTING DAT 8Y SEWER OR DISPOSAL SYSTEM IAY _ DI IZT.AJ{._q MDOMSEWER COPIi"lECT10t� DATA AIiD/bR B1SPbSAL TEM 1.46 PfTSA1ID ORORAINFIELD OR 2.641 STATION DEPTH C BSPOOL--0R W L SPECIAL CONDITIONS ONLY 2.0 J. MANNOLF REFERENCE LOWER E OF CONME ON LENGTH F. OWNERS PERMIT ; 1 00 P.L. M.L.TO P.L. .�� AUTHORIZATION TOTAL FEE A 6n 1 HAVE THIS DATE CONTRACTED WITH THE 14EI ZIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXIT INe APPROVALS INSPECTOR'S 819MATURE DATE DWELLIR6 TO THIS BLtC SEWER SfGNED THI �' DAY ., 14 S-� NEWMOUSESEWER ..��- OWNER OR OOH'01*9O WORK OWNERS AQ/i�J1T.� � BUILb1HR QR.WORK SEPTIC TANK. IT(S) ADDRESS. DOR DRILD 1 HEREBY ACKNOWLEDGE THAT R HAVE READ?NIS APPLI- . CESSPOOL© DRYWELL 0 CATION AMD'STATZ TRAY THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANOES AND STATE LAWS ,ALTO REPAIR SEWER OR REGULATING PLUM BfUS AND SEWERS. 'SEWANg DfSPOUL SYSTEM. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED It1SGONNECT PLUG AND ANO/OR LICENSED AS REQUIRED .1IY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA ON VNAT 1 AM THE LEGAL OWN- ER OF THIS ASOV DESCRIBE.., IDEMTIAL PROPERSEPTICTANK f SEEP.PIT(S)E] CESSPO ❑ E3 SfSNATRE OPUITTEItPERM ._, .. TdA$M 60 1/101 DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING I ADDRESS FOR APPLICANT TP FILL I LOCALV7 - BUILDING NEAREST ADDRESS �� e ROSS ST. LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST - A S CHO-88 ST, - --" ^4�_ — RECEIVED BY Ready for Inspection DATE ISSUED OWNER 1- 4a MAIL -- ' USE ZONE OCCUPANCY MAP ADDRESS — _ - : ,•'{-�s=°se,, BK PG CITY CONTRACTORy CO.IMP.N0. f ADDRESS - JOB.N0. CITYf'ii EL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO. rj r +I, g COUNTY ROAD PERMIT NO. LEGAL F _ DESCRIPTION LOT N0, STATE ENCROACHMENT� PERMIT N0. BLOCK TRACT �,7 INDUSTRIAL - k WASTE APPROVAL SIZE OF LOT € N0.OF BLDGS ,. NOW ON LOT n CHARGES BUILDINGS 4 w s CONNECTION CHARGE FEE N0, DESCRIPTION OF WORK FEE _ REIMBURSEMENT FEE � .._.� - j HOUSE SEWER CONNECTING TO PUBLIC SEWER $ 3.50 RECEIPT NO. DATE BY T HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO- DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND A AND/OR DISPOSAL SY STEMN SEWER i 00 j CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAIN_FIELD 2.00 STATION DEPTH CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 2.00 I MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM Y. Ci;,^C P.L. -' M.L.TO P.L. OWNERS PERMIT $ I I Go AUTHORIZATION TOTAL FEE - I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED HAVE TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS..._...............DAY OF.................._......_..........19___-. NEW HOUSE SEWER f OWNER OR CONNECT ADDITIONAL OWNERS AGENT----------•---.-..._......................._......_.._..._._........_.__. BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS.........._-_.-__...__-----------------------------.-._-_----.._--•................ AND/OR DRAINFIELD _ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI• CESSPOOL DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS E SIGNATURE SEEP.PIT(S)� CESSPOOLS ? - i.s ' OF PERMITTEE<._ 76A642D 663 1/53