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Home My Public Portal About9622 WOODRUFF AVE_Sewer__ 7f,AE-663 12-54APP APPLICATION FOR PERMIT 5&E•65 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BIIILntx� z WM.J. FOX. COUNTY ENGINEER ADDRESS E .L- a . CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLII; A`T,TO, 1,��_� c>?oss sr. �" r LEGAL DESCRIPTION LOT NO "� ' ' _ r OWNER BLOCK TRAMAIL ----�lcc— ADD ESS N0;Or Bi DGS. SIZE OF LOT _ NOW ON LOT CITY TEL. NO se USE OF - BU_LDINGS ,_< „->'�•+ .✓. _ _ �_ DISTRICT NO. GROUP MAP EK PG CONTRACTOR a'7 Ifs1, .� •'� f :- x ADDRESS -' ✓ °` °s " CONNECTION DATA �!. _ a id,..� ., .' CITY �I,�, ,�; `�T£L.-NO STATE._ STATION y.• — . -- DEPTH � " , ; ,° �✓" _ [�'' r � MANHOLE REFERENCE REGISTRATICOVINO. d ,, ,. COUNTY � lC UPPER L-04rili_ TYPE OF CONNECTION LENGTH FROM x01 DESCRIPTION OF WORK FEE Y• i,. CUR3 P.I. MAL. CC P.L. _ y HOUSE SEWER CONNECTING TO A PUB IC SEW ER _ (J':; HOUSE SEWER CONnE.CT.ING TO I PRIVATE DISPOSAL SYSTEM_ 1.00 �Ok N£CT AnD�E!Oh 1L BLDG. OR VtrOFK TO HOUSE SEER 1.00 COIMP. NO .l JOB. NO. ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYS EM 100 I TRUNK PERMIT NO, ROAD PERMIT NO. DISCONNECT AND ABANDON SEWER 3 S. SYSTEM.: STATE tNF,RQAChM:,[VT ' A aD:OP ISPOI i_ 1.00 PERM''I NO. SEPTIC TANK, SEEPAGE PIT OR --_� -`.-- --- ----'-- _ PITS AND/CRR DRAINrIELD 2.00 E INDUSERIAL �✓'� � CcS POOL �RYV EI L - -- WASTE APPR.O . SPECIAL CONDITIONS ONLY 2100 �.. ._ _—__--- --- -..._--- —_--- CHARGES PZ` CONNECTION CHARGE FEE ORS$ _ S 1 00 -- - gym. R' MBURSEMEN7 FEfi' �.,•, AUTHORIZATION TOTAL FEE -- � 1 HAVE THIS DATE COi�ITRACTEB WITH THE HEREIN NAMED CON- AP OVALS LATE � t;�°F.C�'0't°,S GNArURE TRACTOR TO CONNE T T E ABOVE DESCRIBED EXISTING DW LLING !!! TO THE PUBLIC -J ,"-.- ;� - - VIEW HOUSE SEWER SIGNED THIS ��" DAY OF j.� OWNER ,OR , CONNECTADDiTIONAL -� j:.`..._.v,.•..v_T,_ _.__._....._._._. OWNERS AEENT ' vc BUILDING OR WORK a - z �. '� .._. .�" _ ' .9'r ,!1 '„• j - 9 SEPTIC TANKSEEP, PITS) AND/OR DR,INFIEL.D I HEREBY ACKNOWLEDGE THAT 1 HAVE READ APPLICATION CESSPOOL DRYWELL d AND SPATE THAT THE ABOVE 15 CORRECT AND AURES TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR, SEWER OR d (f PL I'lBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND%OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST'A'TE OF DISCONNECT FL UC AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABODE ABANDON.HOU., FWER _ C---___ _- DESCRY �B WDENJI C PROPERTY. BACKFILL SEPTIC .AHK ❑ . - J-, , SEEP. PIT(S) 0 CESSPOOLS Jig-�"t� RMiTTEE� � - Mill WILLIAM J. FOX,GOt71�TY ENGINEER j VALIDATION BY LIV BY- 84V evt+ AP 21 `1 4.5 DEPUTY ' QEPUTY BY BY DEPUTY DEPUTY 76AGA2D APPLICATION T'I',�✓N FV ■. R .PERMIT 1 5&F...663 12-5A DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE ISP®SA L Department of County Engineer County of Los Angeles BUILDING WM. .J. FOX, COUNTY ENGINEERADDRESS. . _ - CASSATT 0.GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT T �?j.�,I. � � � NEAREST CROSS IT. `..' LEGAL ----yrs„ /Z-1 rs„��. �. _ DESCRIP710N��.LOT N0. - OWNER BLOCK TRACT � MAIL - - _ ADDRESS f 4 51z NO.OF BLDGS, y� -- t - _ .7 SIZE OF LOT vd „€' 'e NOW ON L07 ! CITY` _ TEL.N0. ,r USE OF .._.�. —._ BUILDINGS i a` DISTRICT NO. GROUP MAP-15S BK PG CONTRACTOR �,-,, 4.' / q dl�_ ✓1 a > - �--i �' . ADDRESS r �) t, ?? CONNECTION DATA CITY TEL: N0. .a- '� �" _ - STATION s ADEPTH J, - W'STATE -,/' �, MANHOLE REFERENCE REGISTRATI N6. '7� f� COL`NTY t;� z't �w. _ UPPER LZA—FFlt- s TYPE CF ECT ION LENGTH FROM a No. DESCRIPTION OF WORK IEE Y. I HvLSt 5EN1ER CONNECTING?'0 � �-4j~ate m—.�`~-`~�~-�. I__PU@LIC SEWER _ _ _r'_$ --- HOUSE SEWER CONNECTING:70 �i I f PRIVATE DISPOSAL SYSTEIT 9.00 - CONNECT AODIT'ON L BLDG. OR I WORK TO HOUSESEWER 1.00 CO, IMP. NO. .�"' g6„ 108. NO. ALTER OR REPA R EXISTING • -�—"` ._._ - as. _� SEt§:ER_0�' DISFO_SAL SYSTEM :Rt-1NK PERMIT N0. ROAD PERMIT N0. - LISCONNrCT AMID , NDON S-1s'ER STATE ENCROACHMENT AH /OR DISPOSAL YST510 f CO I PERMIT NO. -- -` Ef-TIC,TANI.SEEPAGE PiT OR i P tS AND/OR DRAINF ELD 2,00 j , 1".DUSI'RIAL —_- --__ --. -.;.—._._ 1';ASTE APPROVAL CESSPJvL- DRYWE_L �.~- - - _ ----- _iSPECIAL CONDITIONS.ONLY 2.00 � f_ CHA!!!S ----- - - -,�_I --- CONNtCTICN CHARGE.FEE ®V RIS flEIt.I�/IIT i p© AUTHORIZATION 1—i6vil, iii I PE w BuRSEt vT>C_ I HAVE THIS LATE CONTRACTED WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR'S SIGNATURE CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED .FXISTiNG DWELLING _ TO THE PUBLIC SL�;E �+ >1 �•'' NEW HOUSE SEINER SIGNED THIS DAY OF �.___19.;_� CONNECT ADDITIONAL OWNERSOWNER OR �'�s^s 3_ BUILDING OR WORK +' �+ �,..• „� .�•.. SEPTIC TANK, SEEP. PIT(S) Ak)DR r,N AOR I F tEACKNOWLF>.DGE THAT 1 FfAVF READ S APpLlCATION -CESSPDOL DRYWCt.L[] - AVD STATE THAT THE•>ASOVE la CGR>=<.E...t AND„ - EE 70 COMp.LY ___�,.... _ --- — YJSTE'. ALL COUNTY ORD'aIdA*ICES Ats'U STATE @AWS RE^ULA7ilVG ALTER, REPAIR,SEINER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A-ND%OR DISCONNECT PLUG AND LICENSED AS REOUTRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT t A&i THE LEGAL OWNER OF,THE A@(AYEABANDON HOUSE SEWER_— DESCRIBED RESIDENYIAL PRO, 'Y, g" ABACKFiLL SEPTIC TANKS 0f' t' SEEP. PITrS) �J CESSPOOLS 0 SIGNA .E. �._ OF PERMI'iTEE WILLIAM.I. FOX, CoU Y ENGiNE:E72 VALIDATION ,3 02 PR29 � 4.50 � IIY BY DEPUTY ,+'' DEPUTY BY BY DEPUTY DEPUTY