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Home My Public Portal About5940, 5942, 5944 TEMPLE CITY BLVD_Sewer__ DEPAltrMffiNT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS CROSS ST. LOCALITY DISTRICT NO, SERIAL NO. PERMIT NO. NEAREST A % S CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER _— ADDRESS _ � USE ZONE OCCUPANCY BK MAP PG CITY TEL.NO. CONTRACTOR ---- CO.IMP.NO. ADDRESS JOB NO. CITY - TELAO. " TRUNK PERMIT NO. F3 STATE REGISTRATION NO. ❑ COUNTY ROAD PERMIT NO.. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT PERMIT N0. BLOCK TRACT INDUSTRIAL SIZE OF LOT N0.OF BLOGS. WASTE APPROVAL BY4 DATE NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE z PUBLICSEWER (Q $ 3.50 RECEIPT NO. I DATE (BY 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 1 BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT ; I 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE - SIGNED THIS.... -----=--------DAY OF-_ ....... 19-.._... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT___...------_........-.- ............................ BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS....--- ...........----_----------- _..-.......-.......................... AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E 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 _ I 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 I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS 1� SEEP.PIT(S)0 CESSPOOLS SIGNATURE OF PERMITTEE--..... - ..: '-.._ .........•_ ...•-- ------- 76A642D 663 1/53 DEYAIC'MENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY -- BUILDING NEAREST ADDRESS CROSS ST. LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST A S CROSS ST. RECEIVED BY Ready for Inspection 'DATE ISSUED OWNER MAIL --- ADDRESS USE ZONE OCCUPANCY BK MAP PG CITY TEL.NO. CONTRACTOR - ---- ---— CO.IMP.NO. ADDRESS -- __ JOB NO. CITY TEL.NO. TRUNK PERMIT NO. ! STATE REGISTRATION N0, j COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLOCS. NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. j DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ ; 3.50 RECEIPT NO. DATE I BY HOUSE SEWER CONNECTING TO i PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO- ( DATE I BY SEWER OR DISPOSAL SYSTEM 1.00 D f DISCONNECT ANABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA ` SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS IN5PECTOR'SSIGNATURE BATE SIGNED THIS_-_.% ._.__DAY OF_,-...:_._:..e_.__.__e.-________.__15r Y4:_' NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT......a:._................-._... ...._...-. ..._.___----------- BUILDING OR WORK ADDRESS__._...___. SEPTIC TANK,SEEP.PIT(S) p_--• ----__. ._..... ... ........ _.-.--...-• AND/OR DRAINFIELD t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] DRYWELL C l 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE y' >^ SEEP.PIT(S)E] CESSPOOLS[:] OF PERMITTEE._. -::'_. ..._. e.__e._. fir✓._._... 76A642D 663 1/53 IDEPA_tCI'lY[ENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES f WILLIAM J. FOX. COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING -0 -zNEAREST ADDRESS y ¢ GROSS ST. LOCALITY �� ro DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST CROSS ST RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL —- ADDRESS USEZONE OCCUPANCY MAP BK PG CITY TEL.NO. CONTRACTOR CO.IMP.NO. ADDRESS JOB NO. CITY TEL.NO. —� TRUNK PERMIT NO. STATE REGISTRATION NO. COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT —' PERMIT NO. BLOCK TRACT INDUSTRIAL SIZE OF LOT NO.8F BLDGS. P-- WASTE APPROVAL _ NOW ON LOT CHARGES USE OF '� BUILDINGS } �'y?' r %°, CONNECTION CHARGE FEE NO.i DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ $ 3.50 RECEIPT NO. I DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 �i ALTER OR REPAIR EXISTING NO- I DATE I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AN6-A BA:NMN SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ I 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE I HAVE THIS BATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS._.: —DAY OF:,,c;.,---------------------------------19_._"__ NEW HOUSE SEWER OWNER OR ax CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS ...:..---•----_•.. ---•----------- AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] DRYWELL E 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 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE_DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURESEEP.PIT(S)Q CESSPOOLS 0 OF PERMITTEE---._„ .._.;. - ------•_::.. k.. ,- ..i-.>. ------- ,6A642 D ---.,6A642D 663 1/53 IDEPAWrMENT OF COUNTY ENGINEER SEWER--SEWAGE DISPOSAL g DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS r y.; 4,{u CROSS ST. 4 LOCALITY H DISTRICT N0. SERIAL NO. PERMIT NO. ` A NEAREST r3 = A S CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL �-^ � I ADDRESS 9 J' pJm�`,< d," USf ZONE OCCUPANCY MAP BK PG CITY ` k, TEL.NO. CONTRACTOR CO.IMP.H0. ADDRESS 3 JOB N0. CITY TEL.NO. - TRUNK PERMIT NO. REGISTRATION N0. rip ESTATE ❑ COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT -- PERMIT NO. BLOCK TRACT INDUSTRIAL f SfZE OF LOT NO.8F BLDGS. WASTE APPROVAL _ NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE N0. DESCRIPTION OF WORK FEE H 4 SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ $ 3.50 RECEIPT NO. I DATE BY HOUSE SEWER CONNECTING TO �, PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER 1.00 EXCEPTION RECORDED ALTER OR REPAIR EXISTING NO- I DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'SSIGNATURE DATE SIGNED THIS......-------i:----DAY OF--...-.-,.,............................19........ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT........ ... _----_---.-.... .....-..............----- BUILDING OR WORK SEPTIC TANK,SEEP.PITS) ADDRESS... - ---------------------- — ----------.-..- - AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL.[] DRYWELL I] 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 I 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)El CESSPOOLS❑ OF PERMITTEE ....... - ----------------- ----- ....... 66A6421) 663 1/53 DEPA2CrMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING t ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS CROSS ST. LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. c NEAREST A I S CROSS ST. — RECEIVED BY I Ready for Inspection DATE ISSUED MAIL (-- OWNER ADDRESS USE ZONE i OCCUPANCY MAP BK PG CITY TEL.NO. CONTRACTOR CO.IMP.N0, ADDRESS JOB NO. CITY TEL.NO. TRUNK PERMIT NO. STATE REGISTRATION NO. COUNTY ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT PERMIT NO. BLOCK TRACT INDUSTRIAL SIZE OF LOT NO.OF BLDGS, WASTE APPROVAL NOW ON LOT CHARGES USE OF ^ BUILDINGS CONNECTION CHARGE FEE DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC_SEWER @ $ 3.50 RECEIPT NO. DATE I BY HOUSE SEW-Ell-CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER L00 ALTER OR REPAIR EXISTING NO- I DATEI QY SEWER OR DISPOSAL SYSTEM 1.00 i DfSCONNE6T AND ABANDON SEWER 1. AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS ; 00 Y. CURB P.L. M.L.TO P.L. PERMIT I AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'SSIGNATURE DATE SIGNED THIS-----:------------.-DAY OF.- ------- ..............14:__ NEW HOUSE SEWER 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 E] DRYWELL I] 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 I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOPLUGAND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS E] SIGNATURE SEEP.PIT(S)0 CESSPOOLS OF PERMITTEE..- ------- .-..--- i 6A642D 663 1/53