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Home My Public Portal About5535 WELLAND AVE_Sewer__ `I2.S4' APPLICATION FOR PERMIT ], BION OF BUizDnvG AND SAFETY SEWER—SEWAGE d o SMSAL Depar enf of County Engineer County of Los Angeles BUILDINBUILDING. WM.J.FOX, CouNTY ENGINEER CASSATT 0. GRIFFIN,SUPT of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSI ST. LEGAL - - - DESCRIPTION - LOT NO. �, � OWNER BLOCK TRACT MAIL ADI:RES NO.OF SLOGS. -- SIZE OE LOT NOW ON LOT CITY„ ,..j' , .+... TEL. NO.:' USE OF BUILDINGS DISTRICT NO. GROUP I MAP _- i -- __ .... ,.�� BK PG CONTRACTOR ADDRESS CONNECTION DATA CITY TEL. NO. STATION DEPTH f, �..... -�_ STATE --E— MANHOLE REFERENCE REGISTRATION NO. !_! COUNTY _ `F, k - UPPER �-.--- LOWER - TYPE ----- TYPE OF CO ECTION LENGTH FROM No, DES-CRIPTION OF WORK FEE Y CURB P.L. —M.L.TO P.L. �YI HOUSES CONNECTING ?'0 PU6L CSEt^EWE fGP _ _ � $ s..56__ HOUSE SEWER CONNECTING TO 1 PRVATE DISPOSAL SYSTEM `! CONNECT ADDITIONAL BLDG, OR — I , 3 JO WORK TO HOUSESEWER _1.00 I CO, IMP. B. 90. _ .— 1 ALTER OR REPAIR EXISTING ! �_ y SEW ER OR DISPOSAL SYSTEM. 1.0.0 j �� TRUNK PERMIT NO. R 0 PERMIT NO. �_..I. DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT 1 AND.OR DISPOSAL SYSTEM1,00 _h—_ PERMIT M0. �i SEPTIC TANK SEEPAGE PIT OR `^.---�--- vl PITS AND/OR DRAINFIELD _2.00 j - 114DUSTRIAL CEIIPOOL DRYVucL-L _ I WASTE APPROVAL SPECIAL ]L ONS ONLY 2.00 CHARGES —I ._� -- — T-_— - i -- 1 CONNECTION CHARG FEE Vi - - ® NEWS FEfiltYlT_ --- _ - EbN[' .IIwf?URSEM �FEE -~-- AUTHORIZATION TOTAL FEE RE �;� ; EDIf I HAVE THS°', DATE CONTRACTED WITH THE HEREIN NA6 W CON- TRACTOR %PPLO V A lS DATE II SPECTOP'S SIGNATURE TOCONNECT THE ABOVE DESCRIBED EXISTING DWELLING � TO THE PUBLIC SESVER _ -�-- SIGNED THIS_ DAY OFA_ 19^_ NEW HOUSE SEWER OWNER OR �- CONNECT ADDIT?ONAL OWNERS AGENT -_BUILDING OR WORK A.DURE.SS.__. SEPTIC TANK, SEEP, PITS? AND/OR LRA?MFSELD .�_ _— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL[] DRYWELL AND STATE THAT THE A90VE IS CORRECTAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT S AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS RFQUIRED BY LOS ANGELES COUNTY AND STATE OF _ ABHOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER .OF THE ABOVE ABANDON ANDON.-_..__ DESCRIBED RESIDENTIAL PROPERTY. $ACKFILt.SEPTIC TANKS[] SEEP.PITS) Q CESSPOOLS❑ - SIGNATURE -- - �� ^ _ OF PERMITTEE WILLIAM J. FOX, COUNTY ENGINE:F-RVJMA71ON BY .V l gY3 .J %r DEPUTY .+F` `...r. DEPUTY BY BY c"', DEPUTY DEPUTY ,i' B-28 A6D6y 6A642a�� APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEINER--SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY CiIDIJOHN A, LAMBIE, CountVISION neer ADDRE sG We111th WILLIAM A. ENSEN, up f of BYuilding LOCALITY NEAREST FOR APPIMANT TO FILL IN TCROSS ST. ZLEG - - DESCRIPTION LOT NO. OWNER Campbe I I BLOCK TRACT MAIL ADDRESS NO.OF BLDGS, SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OU DISTRICT NO. GRP MAP PROCESSED BY y: BUILDDINGS 1 CONTRACTORl1 �� q} 1 e� e�I! � Y$ s r B ✓` i ADDRESS Box 408 CONNECTION DATA CITE I NliiOI'9t a TEL.NO. 444- 15r- STATION DEPTH REGISTRATION N0. 14 tqg 2 STATE MANHOLE REFERENCE UPPER COUNTY LOWER NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ jtiI.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $5.00 OVERFLOW SEEPAGE PIT,DRAINFIELD >_ EXTN..CESSPOOL.DRYWELL @ $2.00 CL HOUSESEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. JOB NO. LJ I CONNECT ADDITIONAL. _TO HOUSE SEWER r, 51.00 TRUNK PERMIT N0, ROAD PERMIT N0. ALTER,REPAIR OR ABAND N HOUSE STATE ENCROACHMENT -•� SEWER OR DISPOSAL SYST M @ $1.00 PERMIT N0. W INDUSTRIAL f WASTE APPROVAL r i / 1 CHARGES z �7 OVVNBR`S',! PERMITS 2 00 CONNECTION CHARGE FEE AUTHORI n6N TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE EIN NAMED CN- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXIST NG DWELLING APPROVALS DATE i INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER, SIGNED THIS DAY OF 19— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT is HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL 0 DRYWELL WITH ALL COUNTY ORDINANCES ,AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COU' AND STATE,OF ABANDON HOUSE SEWER CALIFORNIA OR THAT -1 AM THE LEGAL wtj OF -TIT DESCRIBED RESIDENTIAL PROPERTY. w�.,, ' BAC KFILLSEPTICTANKS SIGNATURE -.,. i `r%. � ,-./ - � SEEP.PIT(5) ❑ CESSPOOLS OF PERMIT? ` VALIDATION ROBE=RT A. WOOD CK. Y.0. CASH SUPERVISING MECHANICAL ENGINEER 6 _4 9 1-8 F;"',0 2 7 1 V D 5}` 7EAC, C-66-3"3-55 APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING • WM.J, FOX.COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST�� _-- cROsS 3r. .. DESCRIPTION LOT NO. (` }„ _ OWNER BLOCK TRACT 92 MAIL L'` ADDRESS N.0 OF BLDGS. SIZE CF Lor 2 �Yy NOSY ON LOT ,.may CITY - TEL. N0. USE OF ,,� BUILD tiG5 Y °. ICEJ 3 ¢-�J" ._._ _. DISTRICT N0. GROUP i MAP BK AG CONTRACTOR'/: - j Y` ADDR'c55✓L•'�`� 1 CONNECTION DATA CITY '" y. TEL. NO �"3 � ��_4�.- :STATION_ DEPTH _ UPPER_ 0 STATE MANHOLE REFERENCE LOWERREGISTRATION No. ❑ COUNTY - - �._._- --_.—,-_-- -.._._.._....-- NO. DESCRIPTION OF WORK .FEE � -' ---- ____ -- TYPE OF CONNECTION _-LENGTH FROM HOUSE S-WER CONNECTING TO CURS__ P.L. K L. TO P.L. SE PUBLIC WER C' $ 3.50_ - _Y.__ -- -------�- I HOUSE SEWER CONNECTING TO ff I PRfVAIE DISPOSAL SYSTEM L001 I ---.-_.-----------------.---.--------__...____...-.._-_.__-- CONNECT ADDITIONAL BLDG. OR r --�-�----�- P C. N0. WORK TO HOUSE SENER T.00 , CO. 114P. NO. JOB N_O_,_-______-�-___� !I ALTER OR REPAIR EXISTING - -_ EWER OR DISPOSAL SYSTEM 7 00 f._ TRUNK PERMIT MO. R -AD PERMIT NO. �! _. DISCONNECT AND ABA14DON SEWER _-i _� STATE ENCROACHhIENTT-T AND/OR DISPOSAL SYSTEM 1,0D PERMIT NO. { SEPTIC? N', SEEPAGE PIT OR 1 -Yi--- -----------A-----j -_ PITS ANWOR DRAINFIELD y 2.00INDUSTRIAL 1 t_ WASTE APFROVAL i! CESSPOOL IV DRYE:LL I - S.PECIPL CONDI'I70'vS ONLY 2.00 CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT $1 11y00_ 1 AUTHORIZATION TOTAL FEE { ` Rk;MBUfiSE, NT F F I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMLED CON TRACTOR TO CO NNECT THE ,.BOVE DESCRIBED EXISTING DWELL ts6 APPROVALSQA7c (�iBPECTOR'aS16NAYURI; TO THE PUBLIC SEWER ill - - - - NEW HOUSE SEINER SIGNED THIS 4 �" DA.Y OF - 19 OWNER OF , CONNECT ADDITIONAL 0W'NERS AC:E NT �'"` � >> ':...__ A(ai!`d BUILDING.OR WORK ✓' �' SEPTIC TANK, SEEP, PIT(S) -_ -A__UUTSESS s'� � i �°"> i'° _AND/OR DRAiNFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL[IDRYWFL.L C1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR Y' 1 PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG ANDCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS Li d f SIGNATURE SEEP. PIT(S) [1 CESSPOOLS 0 `_. -. OF PERMITTEE' fi 'R•' qtr WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD. CHIEF PLBG. INSPECTOR 'ptV;WARnMNT OF-COUNTY ENGIIIu= - . -- - SEWEI&®SEWAGE DISPOSAL — YVISION OF BUILDING ANDSAFETY PERMIT APPLICATION _ `fit. .• COUNTY OF LOS ANGELES ' WILLIAM J.=FOXr COUNTY ENGINEER 1 ` BUILDING - ADDRESS r . 7I/If1/ c1• 4 I LOCALITY- a - FOR.APPLICANT TO FI N BUILDING NEAREST _ ADDRE CRO-8 ST. .,J eJ P - LOCALITY Y. - DISTRICT NO. SERIAL NO. "'' .-PEEjRMIT(NO. c NEAREST + ' A i.�'17'ctJ ��3 CROSS ST. - R CEI•V''DD�B'YReady for Inspection DAT�E�ISSU D OWNER MAIL AREUSE ZONE d OCCUPANCY MAP DDSS j�J� BK PG CONTRACTOR ADDREOPP JOB NO. •� TRUNK PERMIT N0. �"r -- ' [r . REGISTRATION NO. �.' �d ❑ COUNTSTATE Y- ;ROAD PERM1IIT NO. &gy�' LEGAL. STATE ENCROACHMENTary DESCRIPTION LOT NO. , PERMIT NO. BLOCK TRACT f'Q a •INDUSTRIAL WASTE APPROVAL NO.OF SIZE OF LOT NOW ON LOTS• CHARGES USE OF -' BUILDINGS CONNECTION ROE FEE NO=-- DE ifrrioN. OF WORK FEE HOUSE EWER CONNECTING TO REIMBURSEMENT F PUBL10SEWER $ 8.50 �� RECEIPT NO. ATE BY HOUSE SEWER CONNECTING TO �. PRIVATE DISPOSAL SYSTEM 1:00 CONNECT ADDITIONAL BLDG.OR - EXCEPTION REO RDEP, WORK'TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING •I �+'� NO. I DATE B SEWER OR DISPOSAL SYSTEM 1.00-.DIS AND/OR DISPOSAL SNNECT AND YSTEMN SEWER 1.00 C" ' CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR g �j PITS AND/OR DRAINFIELD 2.00 iSTAT10N. ®�rl �.G- DEPTHS CESSPOOL—DRYW ELL' SPECIA.L-CONO TIONS ONLY - 2.00 MANH LE REFERENCE fit uSRfiR+ LOWER TYPE OF CONNE TIO LENGTH fROM OWNERS PERMIT $ `Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE ; 1 HAVE THIS DATE--CONTRACTED WITH THE HEREIN NAMED I _ CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING'; APPROVALSINSPECTOR'S SIGNATURE DATE . DWELLING TO THE PUBLIC SEWER SIGNED THIS_. _.._.__DAY OF_.._.____.. _..__._._'I9...__ :NEW HOUSE-SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT....A9 BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS..._....-._.._....._,-. __.-......-•-•-------••--•--• ----....._.._.......__. AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I 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. EGISTERED DISCONNECT PLUG AND AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE-SEWER AND STATE OF CALIF NIA'OR T I AM THE LEG L OWN- ER OF THE ABOVE CRIBE SIDENTIAL- PROP TY. - BACKFILL SEPTIC TANKS SIGNATURE gEEP.PIT(S)0-CESSPOOLS _ OF PERMITTE > _�r_ .. _..__- -••-•---^--•--.. p 70AG42A 063 7/53