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Home My Public Portal About5432 WELLAND AVE_Sewer__ ;E)EPA1%TwzNT OF couNTY ENGINEER - SEWER— SEWAGE DISPOSAL 1 ;DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COIJ= OF LOS ANGELES I, WILLIAM J. FOX, COUNTY ENGINEER ,-I BUILDING FOR APPLICANT TO FILL IN LOCALITY. BUILDING NEAREST' ADDRESS 1� � �i�''l��i� -CROSS ST. �,� ' /,Cr.. LOCALITY T p6F �/ DISTRICT NO. SERIAL NO. , PERMIT NO. NEAREST t A /. ® ��O $ CROSS ST. RECEIVED BY Ready for Ipapeotion DATE ISSUED OWNER'-MAIL a ADDRESS 4_54 Vj42y�.L/T/j//� USE ZONE OCCUPANCY MAP BIC PG CITY !v/�L C,,! Y TEL.NOA P;ko/ CONTRACTOR CO.IMP.N0. ADDRESS JOB N0. CITY - TELAO.• TRUNK PERMIT N0. STATE REGISTRATION NO. ® COUNTY ROAD PERMIT NO. LEGAL pJ / STATE ENCROACHMENT DESCRIPTION LOT NO. '�S G'J PERMIT NO. / BLOCK TRACT ®R / y INDUS APPR%L WASTESIZE OF LOT NO.OF BLOBS. qr NOW ON LOT CHARGES / BUEOUI DINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE - REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC8EWER : $ 3.50 RECEIPT NO. 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 N0. I DATE I BY �- SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER - AND/OR DISPOSAL SYSTEM 1.00 CONNECTION-DATASEPTIC TNK " PITS AND/OR,DRA NFGELDIT OR •2,00 CESSPOOL—DRYWELL STATION ��-4. DEPTH '(p SPECIAL CONDITIONS ONLY 2.00 �.® MANHOLE RREFERENCE. LOWER TYPE F CONNECTIOIJLENGTH FROM /p OWNERS PERMIT $ 1 00 #A CURB Fc'!°. . M.L.TO-P.L. o��S AUTHORIZATION TOTAL FEE 1500 . I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED . CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING, 'APPROVALS INSPECTOR'SSIGNATURE DATE .DWELLING TO THE PUBLIC SEWER SIGNED THIS:._ ...DAY OF_.__ 19__ ; NEW HOUSEAEWER � f OWNER OR = CONNECT ADDITIONAL OWNERS BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S)- ADDRESS.... ..:- ...._..........—.........,..............—._......:.... AND/OR DRAINFIELD' I HEREBY ACKNOWLEDGE THAT I-HAVE'READ TNI8 APPLI'- CESSPOOL[] DRYWELLEl 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 :000N.TY - ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN ER OF THE ABOVE DESCRIB -RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)[] CESSPOOLS _ rCf OF PERMITTEE Y�:4GF._ ....��.....-..—.. .:..:_:.._---.._.--••—•• ' - 76AS42A 063 7/53 FOA6421) .8.E6 APPLICATION FOR PERMIT 1 :E�08 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING kDDRESs JOHN A. LAMBIE, County Engineer CASSAIT D. GRIPFTN,$ssp't of$uiidjn9 LOCALITY 1` . , �,_ ;'„✓' NEAREST y, FOR APPLICANT TO FILL IN cADss sT z; ,;4 LEGAL r'��b Y .__, DESCRIPTION LOT No - OWNER BLOCK TRACT IAA[L gr / x ' 11 —. ADDRESS t Re a r t fi NO.OF BLDGS,� SIZE OF LOT NOW ON LOT CITY desvj . -, y TEL.N0. USE OF BUILDINGS I STRICT NO. GROUP MAP PROCESSED BY -- � BK P6 CONTRACTOR = ADDRESS CONNECTION DATA CITY TEL.N0. STATION 3 ,{{ DEPTH STATENANHOLE REFERENCE REGISTRATION NO. Ir° COU 'Y �-�^” f' ✓ *LOWER''. ND. j DESCRIPT[ON OF WORK FEE HOUSE SEWER CONNECTING TO a - -K5 _ r PUBLPC SEWER (a� $3.00 TYPE OF CONNECTION LENGTH FROM d SEPTIC TANK,SEEPAGE PIT OR Y J CURB P.L. M.L.TO P.L. rj PITS AND/OR DRAINFIELD @ $3.00 _ OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL.,DRYWELL,MANHOLE (9 $2.00 HOUSE SEWER CONNECTING TO P.C.NO. �PRIVhTE DISPOSAL SYSTEM L .$1.00 CO.CMP.N0. ,� ,✓ JOB N0. CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1,00 . ° TRUNK PERMIT NO. ROAD PERMIT NOz r { ALTER, REPAIR OR ABANDON HOUSE STATE SEWER OR DISPOSAL SYSTEM $1.00 nERMIT NO, INDUSTRIAL r> q WASTE APPROVAL CHARGES OWNERS PERMIT S 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ; REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON APPROVALS DATE I INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS_,__.____T_0AY OF, 'gNEW HOUSE SEWER f OWNER OR llt _\-1 ' " i"/ 1, CONNECT ADDITIONAL OWNERS AGENT ,sa r � BUILDING OR WORK \.: SEPTIC TANK,SEEP,PITS) ADDRESS _AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _CESSPOOL D DRYWELL 0 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. / SEWAGE DISPOSAL SYSTEM HEREBY CERTIFY THAT AM PROPE Y 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 RESIDENTIALIWOPERTy. j BACKFILL SEPTIC TANKS Cl SEEP.PIT(S) 0 CESSPOOLS❑ SIGNATURE ✓ OF PERMITTE �F a y-h jALIDATION ROBERT A.WOOD CII,,' H.0. CASH SUPERVISING MECHANICAL.ENGINEER Y- r✓ 1 u N :E8D89-61 APPLICATION FOR P L.�MIT 0. 't:A6+62.4 COUNTY OF LOS ANGELES SEWER--SEWAGE DISRO�AL (� DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ,- JOHN Aq LAMBIE, Cou�tY JEnji"er ADDRESS .� ' 7 WILLIAM A. JENSEN, Sup'1 oI ulidinq LOCALITY NEAREST FOR APPI ANT TO FILL IN CROSS ST. DEscR�PrioN LOT No. 1 ✓ 1 1"� NER — ° — BLOCKTRACT AIL �. r ADDRESS 0 ) ' 'x' O A t�" L NO.OF SIZE OF LOT NOW ON LOTS f CITY T e`t-i . 6' e TEL. N0. USE OF BUILDINGS k e S I 't'Pt r-, DISTRICT N0,I GROUP MAP PROCESS Y i y BK PG CONTRACTOR t ,`'f '✓ l✓ >� , _° a ADDRESS 3 ' 4 „1r 9 L,8 ., e� CONNECTION DATA CITY', a i i�d_ / , . TEL.NO. e '77 , STATION DEPTH -. STATE MANHOLE REFERENCE UPPER REGISTRATION NO. / I I COUNTY LOWER No. I DESCRIPTION OF FEE411c, HOUSE SEWER CONNECTING TQPUBLIC SEWER @ $3.00SEPTIC TANK,SEEPAGE PIT OR 7YP OF CONN€C7ION M.L. T FRBM PITS AND/OR DRAINFIELD @ $3.00CURB P.L. M.L.TO P,L, OVERFLOW SEEPAGE PIT,DRAINFIELDEXTN..CESSPOOL,DRYWEL.L @ 3?.00 G- HOUSE SEWER CONNECTING TO P.C.NO. O PRIVATE DISPOSAL SYSTEM @ $1.0QO,IMP. NO, JOB NO. V CONNECT A.DDIT!ON.AL BLDG.OR ' TRUNK PERMIT N0. ROAD PERMIT NO. iw WORK TO HOUSE SEWER $1.0o ALTER, HOUSE STATE ENCROACHMENT O EWER 41.00 �I PERMIT N0. (J a27/ s INDUSTRIALLLJ ' WASTE APPROVAL CHARGES Z OWNER' EAMtT $1 21 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE — 1194? REIMBURSEMENT FEE I HAVE AT DATE A CONTRACT WITH THE HEREIN NMED CON TRACTOR TO CIONNECT THE ABOVE DESCRIBED EXIISTINGADWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY 0 19— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK .ADDRESS._ [ABANDON PTIC TANK,SEEP,PIT(S) D/OR DRAiNF1ELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE ISCORRECTAND .AGREE TO COMPLYSSPOOL ❑ DRYWELL WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGTER,REPAIR,SEWER OR PLUMBING AND SEY.ER.S. WAGE DISPOSAL SYSTEM .. 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/ORSCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF HOUSE SEWER CALIFORNIA OR THAT I AIA TH LEGAL. OWNER OF THE ABOVEDESCRIBED RESIDENTIA` ,)t`FtOPE CKFILL SEPTIC YANKS SIGNATURE ! EP,PITS) CESSPOOLS OF PERMITTEE - � - . :.' . VALIAATIO ROSE`RT A. WOOD CK. U.0. �CASH..., SUPERVISING MEC14ANIC.AL.ENGINEER r1 J,