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Home My Public Portal About4927 WILLMONTE AVE_Sewer__ - DEFAIMOF COUNTY ENGnvEEs SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER I ADDRESS FOR APPLICANT O FILL IN LOCALITY �,�,- BUILDING �.oJ ofNEAREST � t l L L 4M od�� - CROSS ST. ,47JV 14 U� ADDRESS 10L LOCALITY DISTRICT N0. SERIAL NO. PERMIT NO. NEAREST �17 A • Qr �' .$ CROS.S.ST. e. .(1J' U —_� RECEIVED BY Ready for Inspeotirn ,f�DAtE ISSUED! OWNER: .i Q��li �4bl i _ r��oTI��:s0'3 �/ _A® � �! I g� USE ZONE OCCUPANCY BK MAP PG ADDRESS . f V CITY TELAO. �—� CONTRACTOR . ^�'Z1lItt CO.-IMP.NO. ADDRESS JOB NO. %w-------- - CITY V 1;E j- TELA�TTTT —(—� 1/G, TRUNK.PERMIT NO. 1 �y aSTATOE(- �. REGISTRATION NO: J�' / ROAD PERMIT NO.LEGAL DESCRIPTION LOT NO.A I3p ES•® STATE ENCROACHMENT p PERMIT NO.. BLOCK. TRACT �O INDUSTRIAL WASTE APPROVAL SIZE OF LOT_e—a 'tNO.OF� NOW ON LOTS" CHARGES USE OF ' BUILDINGS CONNEC CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT F HOUSE SEWER CONNECTING TO PUBLIOSEWER @ S 3.50 3 RECEIPT NO. ATE IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORD WORICTO HOUSE SEWER 1.00 .ALTER OR REPAIR EXISTING NO- I DATE I B SEWER OR DISPOSAL SYSTEM 1.06 -DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1•.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR �B PITS AND/ORDRAINFIELD 2.00 STATION 9 DEPTH 7FYl CESSPOOL—O RY W E LL SPECIAI..CONDITIONS ONLY 2.00 /+yI Bi�MANHOLE RAFERENCE / /d 4/ 'MP,Pir - - - LOWER, TYPE 0&0ONNECTION LENGTH FROM J��r OWNERS PERMIT $ 1 00 Y. /CURB P.L. M.L.TO P.L. ♦.W AUTHORIZATION TOTAL FEE 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED. CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTO SSIGNATURE -.'D TE DWELLING TO THE PUBLIC SEWER SIGNED THIS-.. Iq4 NE.W HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT. _.. .._ —._ —._._.._, BUILDING OR WORK ' ti SEPTIC TANK,SEEP.PIT(S) ADDRESS..._ Lt....... :•- b,. ------_--- AND/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAV E READ THIS APPLI- CESSPOOL[] DRYWELL I]- `� CATION AND STATE THAT•THABOVE IS CORRECT AND AGREE Y., TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR 'REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSALSYSTEM 'I HEREBY CERTIFY THAT I AM PROPERLY EGIST ED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS A ES TY ABANDON HOUSE SEWER . AND STATE OF CALIFORN OR THAT 1 AM E EG WN- ,ER OF THE ABOVE DE ED RESI , NTS P OP BACKFILL SEPTIC TANKS SEEP.PIT(S) CESSPOOLS f SIGNATURE OF PERMITTEE _,t... --._.—....._.._.._..-•---. i 6A642A 663 /5 76AF-66 E-56 S 9 1l-55' APPLICATION FOR PERMIT 1 & - DIVISION OF BUILDING AND SAFETY SEWER--SEWAGE DISPOSAL. Department of County Engineer County of Los Angeles BUILDING +'g Y_, JOHN A. LAMBIE, COUNTY ENGINEER VDDRESS _---r4�27 .<IT 1 y_ Q CASSA.TT D. GRIFFIN„ SUPT OF BUILDINGr LOCALITYIr; p1 -1.---- NEAREST _ FOR APPLICANT TO FILL IN CROSS ST. owe t zvIsa — LECAL 's.,j DESCRIPTION f LOT NO r , OWNER Nr fiIfi'&a `BLOCK— TRACT X,, MAIL - ADDRE_SS F--. NO.OF BLDGS, CITY TEL. N0. SITE OF LOT NOW ON LOT _ USE OF BUILDINGS - DISTRICT NO f GROUP MAP BK 'G CONTRACTORjC3� ci=—= ADDRESS r .• A,-1, ,'+ . ,,c ON DATA _- _ GON CITY e? ry TEL, NO. C p� STATION - 2 PTII ---' '4'•°izw`" V•LE' l u-%- 41..a(, -_ MANHOLE REFER.SNGE `- �` _ rPUPPER - STATE LONER__ REGISTRATION NO, . '?I( ❑ COUNTY NO. DESCRIPTION O©RK FEE - '- � jam' HOUSE SEWER CONNECTING TO TYPE OF NE�CTION LENGTH FROM _PUBLIC_SEWER - ___ L $3._50 _Y. -CURB P.L. M.L. TO P.L. `-�SEPTIC TANK,SEEPAGE PIT OR ' PITS AND/OR DRAINFIELD IgD $3.C4• --_._ .._._ -- __ OVERFLOW SEEPAGE PIT,DRAINFIELD I P C, NO. - EXTN ,CESSPOOL,DRYWELL,M NHOLE $2,00 CO. IMP. NO. JOB NO. --7 - - -- -- f.-.—.. HOUSE SEWER CONNECTING TO SYSTEM PRIVATE DISPOSAL M n $1.00 TRUNK PERMIT NO ROAD PERMIT NO. - c ONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT - _�. WORK TO HOUSE SEWER-- ----- r-$i.00 __.. (',ej PER_M_IT NO ___ _-----�_------- __---------- --..- ALTER,REPAIR OR ABANDON HOUSE � INDUSTRIAL SEWER OR DISPOSAL SYSTEM T C $.1.00 I_—_ _ WASTE APPROVAL, i - =r''r-.'✓ �+' {�g --t��i CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT ---- ---— --- ------- —_ AUTHORIZATION TOTAL FEE-- - — - PiLiMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED,CON- -.__-APPROVALS -�- DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE. DESCRIBED EXISTING DWELLING 'I0. THE PUBLIC SEWER. - - NEW HOUSE SEWER SIGNED THIS_ DAY OF �-f9_— CONNECT ADDITIONAL OWNER OR BUILD-ING OR WORK .----- OWNERS AGENT---- SEPTIC TANK.SEEP,PIT(S) ADDRESS _ — _ AND/OR DRAINFIELD ,------ ---! - �1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOLL] DRYWELLD I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ___ ..—...._—_--_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR I . PLUMBING AND SEWERS. SEWA E DISPOSAL SYSTEM —� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT'PLUG AND CALIFORNIA. AS REC,THJRT V. A LOS ANGELES GEYUNTY AND STATE OF ABANDON H011SE SEWER . C:'ILIFOOR TH{{yyT V. AM THE LEG�4Lf OK,�fER. OF THfF' 96VE.: ---- ---- DESCRIBED RESTDENTIAI/PROPERTY< / r,. '< BACKFILL SEPTIC TANKS Q l _ SIGNATURE --SEEP.PIS) CESSPOOLS[I OF PERMITTEE T- -L7 I JOHN A. LAMBLt.CouN,2Wf ENGINEER �.—VALIDATION ROBERT A.WOOD,CHIEF f LBG. INSPECTOR Kt.y M.O CASK Uw-v 0 a 3 .0 c'.