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Home My Public Portal About9147 WEDGEWOOD ST_Sewer__ 1).EPARTDffrrr 'OF COUNTY ENGl E]ER SEWER—SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGEMS WILLIAM J. FOX, COUNTY ENGINEER I BUILDING / /s��/'y/•/1/� I 1 ADDRESS FOR APPLICANT TQ FILL IN LOCALITY ADDRESSo� j ,i//��'� r��'� ,•^<,�i/ CROSS ST. LOCALITY � �y ,� • 1iJa'~/ DISTRICT NO. SERIAL N0. PERMITNON NEAREST A / (J6 `C � CROSS ST: s"/,11 Am� R E QjFJ V B Y Ready for Inspection CAT .p ISS ED OWNER MAIL USEZON OCCUPANCY AP ADDRESS _ ' r I BK PG' CITY.�F'0:7'!.��a"4�` ei x�TEL.ND.. + I., �7 CONTRACTORmow. Ste: ADDRESS {V'V JOB.N0. Ag CITY ��// � � fiEL.NO. /! �i '�,�j! � TRUNK PERMIT NO. REGISTRATION NO. "a 4 8 COUNTY ' �t•- ROAD PERMIT N0. LEGDESCRIPTION LOT N0. p �/ �f�jG- �� .' STATE ENCROACHMENT - PERMITNO.. BLOCK TRACT � r INDUSTRIAL �" - WASTE APPROVAL SIZE OF LOT �` NO..OF BLDGS: CHARGES eJ _NOW ON LOT' USE OF BUILDINGS ��/ 9 �d 3'(_� i%'� CONNECTION CHARD. FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO P.UBLICSEWER @ $ 3.50 V Wt) RECEIPT NO. DATE BY HOUSE SEWER CONNECTING TO• PRIVATE DISPOSAL SYSTEM1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTI RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING 'O' TE I B.Y SEWER OR'DISPOSAL SYSTEM 1..00 DISCONNECT AND ABANDON SEWER AND/OR-DISPOSAL SYSTEM 1.00 CONNECTION NATA SEPTIC TANK-.SEEPAGE PIT OR2 PITS AND/OR DRA'INFIELD 2.00 STATION �� J DEPTH CESSPOOL—D RYW EL L SPECIAL CONDITIONS ONLY 2:00 / pld1A FERENCE UPPER LTi TYPE OF CO_NNECT10 LENGTH FROM , OWNERS PERMIT I 1 00 emsIke L. M.L.TO,P.L.. AUTHORIZATION I TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH 'THE 'HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING ,APPROVALS INSPECTOR'SSIGNATURE DATE DWELLING TO THE PUBLIC SEWER S16NED THIS. ._ DAY OF._..1 __ : .._I' NEW HOUSE ,5c. c ��,, ,[+ CONNECT ADDITIONAL OWNERS AGWNER ENT�' t�. v Ar-+I^9} e �°f BUILDING OR WORK �Jy r� � A rA SEPTIC TANK,SEEP.PIT(S) ADORESS........,.�L..��....slri'��TC .,f..f.Lt.`t7:...Y�.:_.:_.._... AMD/OR DRAINFIELD I 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND LICENSED AS REQUIRED BY LOS.ANGELES COUNTY DISCONNECT AND STATE OF.CALIFfjNIA OR THAT I.AM.THE LEGAL OWN.• ER OF THE ABOVE DESCRIBED RE NTIALiPROPERTY. ,q' BACKFILL SEPTIC TANKS re fr'. SEEP.PIT(S)[] CESSPOOLS[] SIGNATURE OF PERMITTE ._t{C- - '. •'�. "-i�f:e -s:a �::.._...... 7RA642A 669 7/53 .G� .f 7w- >rIWa s OW c®vNrs ; SEWO SEWAGE DISMAL DIMMN OF sUnfln[G AND SAFETY I CDC]= OF UN ePERMIT� APPLICATION ras WILLIAM J. rEM ObUNTY ENItINRRM BUILDING ABoom FOR APPLJCANT TOR IN LoaALiTY _ WING AESS LOCALITY ` BIS EIQT Na , PRI■ILT NL A4a.<W, o A SRNIAJ.N01;763Y S AhOR1VER ■Mb fir IN�� DATE H�y lio OWAA11NER 9/7 dim 9 A6SRESo URR=OhR oouPANOY MAP PR CITY TRLhO. CONTRACTOR 00.IMF.Na ARDNRBSly 17 JUL NL /C I oITY f% a�' I•• J.�f TWIft PERMIT NL 14 USL REGISTRATION NO. ROAD PERMIT ML DMNIPTIbN LOT NO. RTATE ENOROACN■E1R�� PERMIT NO. BLOCK TRACT Vp -f-7 _ INDUSIMAL WASTE APPROVAL il=E OF LOTI NO OR LAT°~ti CRAINES WILDIROM OONN�OFI�I ONAR4R FRE Na DEFURIPTION OF WORK FRE5 -1 REI■BIIRBE■NMT,F ±.-� PURL OBRWEh M 1111 1 AJO A Li V HRORIPT Na BY mordirmwEn Imins To PRIVATE DISPOSAL SYSTEM I.M ININEHUFAUDITIONALBLOG.OR EXOEPTIOM REWHORD WORN TO HOUSE SRWNR lie ALTER 0 AIR NS DATE T7- I SWIG BOPY MM1AREW N ANDIOP D BAL SYSTEM LM CONNECTION RATA +; E 1 TAN EEIIjI E P�°IR PITILAMD OR�DRAIN IRLR 2A STATION Z � �' DEPTH BPROIAZ CONDITIONS OILY NM 7 �.4 IIANHRpLso REFERENCE -LOW Y. 7Yp6 A °T10 P.L r RUN FROM I OWNEM mmff $ I 00 AUMORIZATION I TWAL PEE ' 1 HAVE THIB DATE CONTRACTED WITH THE'HEREIN NAMES D00OKTRINa°TO TH6 PUBLIC iiWtKE DEB°�IIBRD RTING APPROVAINBPROTON'BBRN•ATURE RATE SIGN9D THIS Y OF 19 NNz*MOUSE Down OWNER OR ,• BIIILp1"OOw01°HL�L - OWNERS AGENT ADDhRM.__ AOU a �• MR 10!oNANINFIBD�T� R `• 1 HEREBY��AONNOW RGB THAT! HAVE MR TNR APPLJ• OR OL[3 D■YWELL 13 .Z T T°AOTOOrPLY W N ALLHrUTLTY ABOVE. RO IIAMOM AND STAT LLAWS REGULATING FLUYdING AND BEWERL LTOII s RPA1 BRWE6 OR I HEREBY ORNTIFY THAT 1 AN PROPERLY REGIRTRRhR ■ AND/OR LICENSED AS RESUIRRD BY LAS ANGRLEB COUNTY DIBpOMNROT PWS AND 1 AND GTATE OF CALIFORNIA ON THAT 1 A E LRGAL DI DOM NOUW*MER ER bF TNR AWVN BRD NT1� ROPERTY. ,p BISNATURR BRRPPR(B)fl ORBSPOOL� Y• OF PE M& lull= m 1/n ..8082D JEBOB 8.59 APPLICATION FOR PtRMIT 7 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING y k Y IOHN A. LAINRIE. County En in"r ADDRESS CASSATT D. GRIFFIN. Sup t of Bufldbw LOCALITY NEAREST FOR APPLICANT TO FILL IN cl¢oss sT. _ LEGAL DESCRIPTION LOT N0..0 OWNER_ BLOCK TRACT — � MAIL ADDRESS -. r NO,OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO, USE OF BUILDINGS DISTRICT NO. GROUP BK MAP PG PROCESSED BY CONTRACTOR — ADDRESS CONNECTION DATA CITY TEL.N0, STATION DEPTH STATE MANHOLE REFERENCE UPPER REGISTRATION NO. U COUNTY LOWER NO, I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER C•D $3.00 TYPE OF CONNECTION LENGTH FROM _+! TANSEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL.DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1.00 ALTER; RE AIR OR ABkNDON HOUSE STATE ENCROACHMENT SEWER R ISP SAL SYSTEM @ $1.00 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNER'S PERMIT $ ? 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE - REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT W:TH THE HEREIN NAMED CON. TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTOR'SSIGNATURE TO THE PUBLIC SEWER. SIGNED THIS,_ , DAY OP®,_.__ _19, NEW HOUSE SEWER OWNER OR - CONNECT ADDITIONAL OWNERS AGENT------. _r3UILDING OR WORK i ADDRESS��___._., - - SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE TIIAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWFLL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT�I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED',BY LOS ANGELES COUNTY AND STATE,OF ABANDON HOUSE SEWER CALIFORNIA OR THAT.�I.,-AM THE LEGAL OWNER OF .THE ABOVE — DESCRIBED RESIDEN,TYXS. PROPERTY - BACKFILL SEPTIC TANKS ❑ SEEP.Pi.T(S) SIGNATURE ❑ CESSPOOLS ❑ OF PERMI - i:IDATIO �► ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER � o