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Home My Public Portal About4923 WILLMONTE AVE_Sewer__ DEPARTHENT OF COUNTY ENG))D EER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COIIN'1'Y OF LOS ANGELES BUILDING WILLIAM J. FOX. COUNTY ENGINEER I ADDRE8S "� Z„� I*A"'I �'�• (�r��Z-!= FOR APPLICANT TO FILL IN. Locaury- Irk,, BUILDING NEAREST t ADDRESS J" �{ L) J.9.f� Q n/7' C ) ROSS ST. Low r LOCALITY _ , DISTRICT N0. SERIAL NO. PERMIT NO. c CROSS ST. NEAREST j O CXJ "dam(J A— A '�� J . d� SRECEIVED BY' Ready for Inapeotton DATE ISSUED OWNER �� (IL A� 7— MAIL T ADDRESS USE ZONE I OCCUPANCY BK MAP PG CITY r TELAO. qty -T— Nor XN bm'm s CONTRACTOR �g , ( (±l)L)j G CO..IMP.N0. ` ADDRESS JOB NO. CITY `, ❑❑ TRUNK P MIT NO. SL3 +IL REGISTRATION N0. ROAD PER T N0. LEGAL STATE ENC ACHMENT' DESCRIPTION LOT NO. PERMIT N0. BLOCK TRACT INDUSTRIAL WASTE APPRO L N0WOOFNBDLOT OSIZE OF NLOT CHARGES USE OF BUILDINGS —j CONNECTION CHAR E FEE N0. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER 0 $ 3.50 jl= RECEIPT NO. I DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION R�C9Rt3E0—� WORK TO HOUSE SEWER 1.00 N0. I DATE I BY ALTER OR REPAIR EXISTING 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 ... S,0 DEPTH CESSPOOL—DRYWELL. SPECIAL CONDITIONS ONLY 2.00 MANIHO ER EFER N E L�OW�E`R� �.,/ C TYPE OF CONNECTI LENGTH FROM OWNERS PERMIT ; I 00 Y. CURB 7 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 APPROVALS INSPECTOR'S IG NATURE DATE DWELLING TO THE/PUBLIC SEWER SIGNED THIS_ `7—A.'DAY OF �_Iq NEW NOOSE SEWER ,,5, OWNER OR �yJ �//�� y BUILDING OR WORK AL OWNERS AGENT....... _._!CW_._p ADDRESS... . . _ ---. AND/OR EPTIC TDRAINF ELSEEP.D IT(S) .. 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 I AM PROPERLY RE TERED DISCONNECT PLUG AND AN LICENSED ASR IRED BY LOS ANGEL UNTY AND STATE OF CALIFO OR THAT 1 AM THE OA OW ABANDON HOUSE SEWER ER OF THE ABOVE DEJFCRJGEO R IDE L E Y` BACKFILL SEPTIC TANKS(] SIGNATURE SEEP.PIT(S)(] CESSPOOLS(] OF PERMI .._.. _ _..�._.._.. 7SA642A 663 7/ =D39PARTMENT OF COCNTY•. ENGINEER SEWERS-SEWAGE DISPOSAL DIVISION'.OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS'ANGELES UILDING WILLIAM J. PDX. COUNTY ENGINEER. I ADDRESS FOR APPLICA 1' T ILL IN LOCALIT�- BUILDING: NEAREST ADDRESS• , CROSS ST. ;''' DISTRICT NO. SERIAL NO. PERMIT NO. I;OCALTY i c NEAREST A � -"CROSS ST. ' R CEIVED BY Ready for Inspection DATE`16SUED OWNER ['+� A�tA e Lra• MAIL ADDRESS USE kONEj OCCUPANCY BK MAP PG CITY' TEL.NO. .,� CONTRACTOR. o CO.IMP.N0. ADDRESS JOB NO. CITY. ' TEL.NO. TRUNK PERMIT NO. -SX Al REGISTRATION;NO. . /-Cv f) z COUNTY ROAD PERMIT NO. LEGAL STATE ENCROACHMENT DESCRIPTION LOT-NO.. PERMIT NO. BLOCK - TRACT.' INDUSTRIAL WASTE APPROVAL SIZE OF LOT - NO.-OF BLOGS. CHARGES NOW ON LOT USE OF BUI)_DINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE.SEWER CONNECTING TO PUBLIC-SEWER dd $ 3.50 , RECEIPT NO. I DATE I BY HOUSE SEWER CONNECTING TO. PRIVATEWISPOSAL SYSTEM 1.009 CONNECT ADDITIONAL BLDG.•OR EXCEPTION RECORDED WORK'TO HOUSE SEWER - . ' .1.00 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—O RYW ELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCEUPPERLOWER TYPE OF CONNECTIOLENGTH FROM OWNERS PERMIT ; I 00 Y. N. CURB P.L. M.L.TO P.L. 'AUTHORIZATION •TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR I . CONNECT THE ABOVE DESCRIBED EXISTING. APPROVALS INSPECTOP'$9SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS_......._.DAY OF ......... ._—__....19__ NEW HOUSE SEWER OWNER Ak. CONNECT.ADDITIONAL OWNERS AGENT..........._......_...._...... ._..—._. BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) f, ADDRESS___._._-.._.._......_......_.._.._......_..-.._......_.._........_._.........._... AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL❑ 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS_ANGEL"ES. COUNTY ABANDON HOUSE S EWER AND.STATE OF CALIFORNIA OR THAT AM THE LEGAL OWN. ER'OF THE ABOVE �111831ED TIA PRO RTY. BACKFILL SEPTICTANKSIGNATURE " BEEP.PIT(S)0 CESSPOOLS OF PERMITTEE - 76A642A 663 7/53 DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 __:,DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES 7 WILLIAM J. FOX. COUBUILDINGNTY ENGINEER „I ADDRESS _ FO LOCALITY APPLICANT TO FILL IN '�� — � BUILDINGn aa33`` ' NEAREST yy-_ ADDRESS • !IA3 W-!&bL,9m �J` 11f n g CROSS ST, LOCALITY �� p ✓Ly` � DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST vA ` CROSS 8T. _aQ� Qt:r/,�,v� .�.f.d.0 ._. I �R C/IV ^B � y Ready for Ineoeotion- AT ISSSyUED OWNER ��V MAIL �� 1 �d� J USE ZOO' OCCUPANCY B G ADDRESS ls�p / CITY -dl✓�' � (' lGed(ie.T.,mmo: CONTRACTORJ' CO.IMP.N0. ADDRESS JOB.NO. CITY TEL.NO. TRUNK PERMIT NO. STATE i REGISTRATION NO. ® COUNTY(, ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. / ,� �; STATE ENCROACHMENT PERMIT N0. BLOCK TRACT INDUSTRIAL N-WASTEAPPROVAL SIZE OF LOT�pl�( /y 0 NO.OFBLDGNOW ON LOTS ' CHARGESUSE OF \ BU LDINGS CONNECTION CHARGE EE D NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PU13LIOSEWER a $ 8.50 RECEIPT NO. I ATEI BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXPF TI N RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. AT I BY SEWER OR DISPOSAL SYSTEM 1.00 .DISCONNECT AND ABANDON%SGWM itlCltSy�'3R'DISPOSAL SYSTEM 1.00 CgNNEC;10)1 DATA PT PTSAND/OR�DRAINFIELpTOR 2.00 STATION ` DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MA' OLE REFERENCE PPER_ . LOWER TYPE OF CONNEC O LENGTH FROM OWNERS PERMIT S 1 00 Y. CURB .L. M.L.TO P.L. l AUTHORIZATION TOTAL FEE• �2_ I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED HAVE TO CONNECT THE BOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEW SIGNED THIS ._..__DAY OF_. __N_19_ NEW HOUSE-SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT..._......_.. . .. _ BUILDING OR WORK j SEPTIC TANK,SEEP.PIT(S) ADDRESS..._......_..-..:..__..._.._.._..__.:.._..�_. ..._..�._.._ AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS CESSPOOL[] DRYWELL CATION AND STATE THAT THE ABOVE I8 CORRECT AND TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT - ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGIDISCONNECT PLUG AND AND LICENSED AS REQUIRED BY LOS ANGELES - ABANDON HOUSE-SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERBACKFILL SEPTIC.TANKS _!RQ� nSEEP.PIT(S) CESSP00SIGNATURE L��(OF PERMITTEE...- — - - - :..- 76A642A 663 7/53 -