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Home My Public Portal About5209 SANTA ANITA AVE_Sewer__ ,jo DEPARTRIENT OF 00UNW WIDENZIM SEWER—SEWAGE DISPOSAL .DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION �. COUMM OF LOSS "GMM WILLIAM J. FCX, COUNTY .EN®IN¢ BUILDINGeR (.ADDRESS AFALOCALITY�P D88ADpECROSSTo S LOCALITY DISTRICT N0. Ready.for Inapeation PERMIT NO. NEAREST v �7 CROSS ST. - ZOEIVED B DATE ISSUED BY DATE OWNER Co. MAIL / USE'ZONE OCCUPANCY MAP :ADDRESS PG � r/ BK CITY TELNO. CONTRACTOR r --CO.INP.NO. ADDRESS JOB NO. CITY TEL:NO. TRUNK PERMIT NO: STATE REGISTRATION NO. COUNTY.. ROADP.ERM17 N0. LEGAL STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO. BLOCK. TRACT INDUSTRIAL. . fin WASTE APPROVAL SIZE OF LOT a�t}l0.DF BLDGS.: WOW ON LOT CHARGES BUIL-D(.NGS ! fes";CONNECTION'CHARGE FEE NO. DESCRIPTI. N OF WORK if FEE `® HOUSE SEWER CONNECTING TOREIMBURSEMENT FEE PUBLIC SEWER Q's 5.00 RECEIPT' 0 DATE BY HOUSE SEWER CONNECTING TO .. I _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLD6.OR E CEPTION RECORDED WORK TO HOUSE SEWER 1.00 N0: —ALTER OR REPAIR EXISTING I DATE (BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON.SEWER. _ AND/OR DISPOSAL SYSTEM 1.66 CONN N DATA. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.06 STATION 'DEPTH CESS�O L—DRYWELL SPEC AL CONDITIONS ONLY 2.00 M HOLE EFERENCE UPPER. LOWER TYPE OF CONN ION LENGTH FROM OWNERS PERMIT ; 1 . Y. CURB P:L.. M.L.TO P.L. AUTHORIZATION TOTALFEE 1 IFAVE.THIS DATE CONTRACTED WITH THE HEREIN..NAMED CONTRACTOR TO CONNECT THE AS DESCRIBED :EXISTING APPROVALS INSPECTOWS SIGNATURE DATE DWELLING TO THE PUBLIC SEWE 51,6NED T. H it DAY O -F 14NEW HOUSE SEWER OWNER OR t CONNECT.ADDITIONAL OWNERS AGENT '0 a 'BU OWNERS OR WORK .ADDRESS_.._.»�. _, �1.. EPTIC.TANK,SEEP.DPIT(S) '��r"I��J RAND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I'.HAVE READ THIS APPLI- "CESSPOOL[] DRYWELL E] CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL VOUNTY ORDINANCES AND'STATE LAWS -ALTER REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. °SEWA�E DISPOSAL SYSTEM I. HEREBY CERTIFY THAT. 1 .AN PROPERLY REGISTERED SEWAd Nf S PLUGAND AILD/OR LICENSED AS REQUIRED 'BY LOS ANGELES COUNTY .01SCO ON HOUSE SEWER AND STATE OF. OR THAT 1 AM THE LEGAL OWN- ER OF THE AB0 ES RIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS-[] SIGNATURE .SEEP.P.IT(8)[] CESSPOOLSyol ' OF PERMITTE .� 76A648D .S&Z,668 4/P4 jr DEPARTMENT OF COUNTY ENGINEER. r� SEWER--SEWAGE DISPOSAL - -1 DIVISION OF-BMLDING AND SAFETY PERMIT APPLICATION r coti= OF IM ANGELM , WILLIAM J. FOX. COUNTY ENGINEER ' 1 . BUILDING ��D7 ADDRESS 7 FOR APPLICAN FRILL'IN. LORAI:iTY- . , BUILDINGh (. x 'NEAREST.-- ADDRESS [� OR089 ST. LOCALITY DISTRICT NO. Ready for Inspection �gr PERMIT NO. NEAREST J .S-60 154•S . CROSS ST. ' EC IVE BY DATE USU DBY DATE AOWNER4r. AAo �lS� ADDRESSUEE ydE. O(CCCUUP,A�N�CY '•''j�B• MAS CITY y YEL.NO. � uTf —`�-� / Y/ CONTRACTOR C0.`IMP.N0. ADDRESS 1 JOB.N0. CITY TEL.NO. TRUNK PERMIT NO. 3' (3STATE. c� REGISTRA N NO. Q t�) ®,COUNTYROAD PERMIT NO. p� �� Dc• 7 LEGAL // STATE ENCROACHMENT. DESCRIPTION LOT N0. -1 PERMIT NO. - BLOCK TRACT' /i 3 INDUSTRIAL WASTE APPROVAL- SiZE OF LOT J ANO.OF BLDGB. = °� r� /4 SNOW ON LOT CHARGES_: BUILDINGS y ri CONNECTION CNAi1GE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO K REIMBURSEMENT FEE - PUBLIC'SEWER at 8.50 � ~y RECEIPT NO. I N 016ATE I BY USE SEWER CONNECTING TO IVATE DISPOSAL SYSTEM 1.00 LCONNECT ADDITIONAL BLDG.OR EXC TION`IECORDED WORK TO HOUSE SEWER I:00' N0. DAT BY ALTER OR REPAIR EXISTING - ' _SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER + _ AND/OR DISPOSAL SYSTEM. - 1.00 CONNECTION DATA " SEPTIC TANK,SEEPAGE PIT OR B PITS AND/ORDRAINFIELD 2.00 JSTATION '"� DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY Zoo 1 �ed � � MANHOLE REPERENCE UPPER =hOWS-11-' TYPE OF CONNECTION. LENGTH FROM D Y. �GMUt�" --ft-hr- M.L.TO P.L. OWNERS PERMIT -� I. . 00 - AUTHORIZATION TOTAL FEE - 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED, CONTRACTOR TO CONNECT-THE ABOVE DESCRIBED'EXISTING" IPPROVALS. INSPECTOR'SSIGN'ATURE, DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS j�DAY OFAou$ �j Qn: e � _ -�� '�L OWNER OR , -� GAGENT _ :YOWNERS bE� .lv' us o v a �.: - _-. � BE IC TANK.SEEP.-PIT(S) .R ADDRESS_- �......_._._.::___. . _._�.._.._.._._.___. AN .OF_DRAINFIELD I.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI'- 'CE POOl. AI£i CATION.AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY WITH ALL.000NTY ORDINANCES AND STATE LAWS_ ItALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY- CERTIFY THAT 1 AN PROPERLY REGISTERED' AND/OR LICENSED AS REQUIRED BY -LOS ANGELES COUNTY V DISCONNECT PLUG AND. AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- =ABANDON,HOUSE SEWER , ER.OF THE ABOVE RIBED R SJ ENTIAL PROPERTY. . }BACKFILL SEPTIC:TANKS ESEEP.PIT(S)'[3 CESSP00_ E3 SIGNATURE OF PERMITTEE 76A648D 8&E 668 4/54IF f� Z:gip, .* APPLICATION FOR PERMIT 1 DIVISION OF HUIIuUING AND SAFM SEWER--,SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING WM.J. FOX. COUNTY E',IgGINEER ADDRESS CA>SSATT D.GRIFFIN,SUPT OF BUILDING � LOGAL'TY iy� rr FOR APPLICANT TO FILL IN -CROSS ST. ., oe LEGAL -- . 7 _CESCRIPTION LOT NO. OWNER BLOCK TRACTy ti MAIL s 1, NO. OF BLDGS. SfZE OF LOT ,�j NOW ON LOT CITY TEL.NO. � USE OF BUILDINGS _ DISTRICT NO. GR 6 UP MAP- PIS CONTRACTOR..._. y`...`a t-=. "sir"' 1 ,AP.a `{'.. "'• ! �- s ADDRESS _ CON'tEC`FION DATA n — — - - — GI7Y %"� TEL. NO. 7 r" STATION _ DEPTH STATE MANHOLE REFERENCE REGISTRATION NO. COUNTY ,.._UPPER _ _.LOWER;__ A TYPE OF IONNECTION "LENGTH FROM - _-- No. DESCRIPTION OF WORK FEE Y; CU s P.L. M.L_TO P L :- — 14OUSF SEWER CONNECTING TO PUBLIC SEWER Ccs $ 3.50 HOUSE SEWER CONNECTING TO � PRIVATE DISPOSAL SYSTEM 1.00 � I - - - --•------- T P — J j CONNECT ADDITIONAL BLDG. OR � { L•. CO. IFhP.N0, JP. �.NO.. ! WORK TO HOUSE W SEER _ I.00 _L _ _ — ALTER OR REPAIR EXISTING i SEWER OR DISPOSAL SYSTEM 1,00 � ! � TRUNK PERMIT NO. ROAD PERI T-d1.'.O. DISCONNECT AND ABANDON SEWER i --!_AND,' R DISPOSAL SYSTEM_ STATE ENCROACHMENT I�.._ PERMIT NO, SEPTSC TANK, SFEPACE PIT OR _ PITS AND/OR DR.4INFIELD 2,00 1 I INDUSTRIAL �{ ESSPOO -�DRYWELL— j -� WASTE APPROVAL. SPECIAL CONDITIONS ONLY 2.00 I ! CHARGES CONNECTION CHARGE FEE AUTHORIZATION 'TOTAL F£E �rr�.'"G R E.I'`4BURSEMENT FEE. a t 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CON- APPROVALS DATE I'9SPECTOR'S SIGNATURE , TRACTOR TO CONNECT THE ABOVE DESCR[BED EXISTING DAF ELLING _. IGNATU.__ TO ':HE PUBLIC SF.WY.R _ NEW ROUSE SEWER SCGNED THIS. � "' AY OFT a ' 19 _ - _ ---- OWNER _OWNER ORr�P ti CONNECT ADDITIONAL 1 OWNERS AZ T ��---.'°'' / <%t _ _BUIL_nl_NG OR WORK a --- SEPTIC TANK,SEEP, PIT(S) AND/OR URAlN;:I£LA_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ CESSPOOL Q DRYVIELL G 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, SFAVAGE DISPOSAL SYSTEM — d HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/Ox - -`—T""---- - UIENSED AS REOU'.RED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ABANDON 'rlOUSE SEW_R ___ DESCRIBED RESIDENTIAL PROPERTY. i BACKFILL SEPTIC TANKS-[I �..% SEEP.PIT(S) 0 CESSPOOLS QSIGNATURE _ OF PERMITTEE. WILLIAM J. FOX, COUNTY ENGINEER VALIDATION BY 0 BY DEPUTY DEPUTY . BY BYc?" LIE DEPUTY DEPUTY