HomeMy Public PortalAbout9887 WENDON ST_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILWNG
WILLIAM J. FOX, COUNTY ENGINEER f ADD R ESS
CASSATT D. GRIFFIN, SUPT uF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
BUILDING 6111'REOSIEST.
ADDRESS 8
LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO.
NEAREST LL' A
CROSS ST.
EV DBY Ready for Inspection DATE ISSUED
OWNER
MAIL '
e 5 'oe idfE'ZONE OCCUPANCY BK MAP PG
ADDRESS ,
CITY --77 TEL,NO. 'C-
CONTRACTORCHARGES REIMBURSEMENT FEE
ADDRESS REQUIRED •
NOT REQUIRED
CITY TEL.NO. JOB NO. 'T7, CONNECTION CHARGE FEE
STATE CO.IMP.NO.
REGISTRATION NO. COUNTY
LEGAL RECEIPT NO. I DATE lay
DESCRIPTION LOT NO.
BLOCK TRACT
WAIVER FOR RECORDING
SIZE OF LOT NO.OF BLDGS. RECEIPT NO. DATE lay
NOW ON LOT
USE OF
BUILDINGS TRUNK PERMIT NO.
NO. DESCRIPTI43N 10F WORK FEE
HOUSE SEWER CONNECTING TO ROAD PERMIT NO.
PUBLIC SEWER @ $ 3.50
HOUSE SEWER CONNECTING TO STATE ENCROACHMENT
PRIVATE DISPOSAL SYSTEM 1.00 PERMIT NO.
CONNECT ADDITIONAL BLDG.OR INDUSTRIAL
—_WORK Tq_HOUSE-SEWER-- LIM WASTE APPROVAL
ALTER OR REPAIR EXISTING
SEWER OR DISPOSAL SYSTEM 1.00 I CONNECTION DATA
bIS60NNEGT AND ABANDON SEWER
A /OR DISPOSAL SYSTEM 1.00
STATION
Sff—TWYXNK,SEEPAGE PIT OR DEPTH
PITS AND/OR DRAINFIELD 2X0 j MANHOLE REFERENCE
-CESSPO—O Gm:-DRY—wvuL-- LrFPCR —LOWER
SPECIAL CONDITIONS ONLY 2.00 TYPE OF CONNECTION LENGTH FROM
ii Y. CURB , -.--P.L M .TOP.L.
OWNERS PERMIT $ I 1 00
AUTHORIZATION TOTAL FEE
IHAVE THDATE WITH THE NAED
CON TRACTORIS TO CONNECT THECONTRACTED ABOVE DESCRIBEDHEREIN EXISTMING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLIC SEWER
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[:I
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER
REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED —
I RED HE Y COUNTY
DISCONNECT PLUG AND
AND/OR LICENSED AS REQUIRED B LOS ANGELES COU NOD
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ABA N HOUSE SEWER
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS
SIGNATURE SEEP.PIT(S)0 CESSPOOLS E]
OF PERMITTEE_,jV,.-,.. --
76A6421) 663 12/52