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Home My Public Portal About9717 WOOLLEY ST_Sewer__ 76A642° APPLICATION FOR PERMIT 1 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING ✓ J °r ✓ JOHN A. LAMBIE, COUNTY ENGINEERAD7REss CASSATT p. GRIFFIN, SUP"T OF P.UILQI^d a, .00ALITY --------- NEAREST `¢ ✓ ,{` FOR APPLICANT TO FILL IN CROSS ST LEGAL DESCRIPTIONzv4Ke, {) OWNER MAIL BLOCK TRACT y' ". ✓'- � +�4a ADDRESS d z. a _ NO. OF BLDGS.y SlZr,' ,F LOT. NOW ON L07 _ CITY bti ; TET., NO. USE Or BUILDINGS`- - �`+ �..._ y�' - DISTRICT NO, GROUP MA?SK PG. CONTRACTOR Y A -----_---CONNECTION DATA------------ AL"DR E S S " - - �+ CITY s: r TEL- t{U. 57AT1 DEPTH /. �T'- r r -- --- -— - --- --- _— VANHoiLE EFE,RENCE ....'�'�'PLR_. STATE SLC !ER REGISTRATION NO. -^.<' PCOUNTY --- "-..-- n DESCRIPTION /F4, 0"RK FEE -- - ----- ------ -- s°---- -- -. - -- ---- -- --- TYPE OF CONN T10N LENGT4,FIYOM f{UUa SEWER CONNECTING TO 'i. L. M.L.CURB "�. P. P.L. PUBLIC SEWER car $ '.50� -_i---- -t---- ------- ---- i SEPTIC TANK SEEPAGE PIT OR - PITS AND{OR DRAINFIELD OVERFLOW SEEPAGE PIT,DR1JNFicLD I� P C. NO. i_EXTN ,��! DRY e<ELL,MANH OLE r'u $2.00� i �=U. IMA NO, J N0, HOUSE SEWER CONNECTING 7C -- -� - ^-- - ------ y PRIVATE DISPOSAL SYSTEM __-.-{a f.OU TkUNK PERMi7 NO �'� ROAD_- TIiT NO, ---- ___ ONNECT ADDITIONAL BLDG.CR - STATE ENCROACH ,,T WORK.TO HOUSES WER a. $IEC _ _ L '_ i rRMIT N0. ALTER,REPAIR OR ABANDON HOUSE - INDUSIRi SEWER OR DISPOSAL SYSTEM `a I.DO WASTE AP, ROVAL. .. --- - ------------- CHARGES '. _-------.-�'-_-- NECTIJN CHARGE FEE OWNER'S PERMIT $ 1 OD --- ---- - — — — AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE ,A CONTRACT WITH Tr{E HEREIN APPROVALS i DATE hNSPECTOR'SSIGNAPUL'a NAMED CON- _ ..---- ------- _.---f�-._.__.-.---------_.___. TRt",CTOR TO CONNECT THE ABOVE DESCRIBED r•XISTING DWELLING - 1) TEE PUBLIC SEWER, - --- NEW HOUSE SEWER SIGNED THIS DAY OF i9_ CONNECT ADDITIONAL - - - OWNER OR �� fr3UILGINC OR WORK Ar z _-- -� OWNERSa__.r-. #L�- x•z-'L� SEPTSC TANK SEEt F[7iS3 --- -------- 'ENT-Z4 T r" ANG/OR DRAINFIELD ADDRF-S �+ - --__ _. -------'I ---- i HEREBY ACKNOvv ,EDGE IAT 1 HAVE. READ !HISy APPLICATION CESSPOOL L' DRYWELL Q AN STATE THAT T;i€ ABOV- IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER.,REPAIR,SEWER OR ! i PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I . I HEREBY CFRTfFY THAT 1 AM PROPERLY REG TERED AND/OR DISCONNECT PLUG ANDLICENSED AS REQUIRED BY LOS ANGELES COUN AND STATE 4F I C1 IFORNIA CR Tr�.A;T l'-AM 'THE LEGA 44' ON,i�rER QF y{TE AIy VE A.BAND03v HU USES.WER _ DESCRIBED RESIDEN;Y'IAL PROPERTY. _/f/ 1+ ,+% BACKFILL SEPTPC TANKS❑ J SEEP. PIT(S) V CESSPOOLS 0 j S.IGNATUit --- O.F P€RMTr:E£`.t- --,fe=,L;. —}-------- i, IOHN A. LAMBIE, Co Lr Y ENGINEER TIMM ROBERT A.WOOD, CHIEF PL.>3G. INSPECTOR ', 1 APPLICATION FOR PERMIT � y COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER NEW BUILDING AND SAFETY DIVISION BUILDING ADDRESS JJ p iy 'J I®HN A. LAMBIECounty Engineer '4rdILLIAM A. TENSEil, Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL CROSS ST - LEGAL __ OE$CRIPTION LOT Nob _'� WNER MAIL BLOCK q _..__TRAC T -� i` $.�.,y,gyf�'` 3DDTiESa .d � # - �� BLDC39. � LIZF F LOT NOW ON LOT _IT .6. Y _SI SE OF ,/ 1 DISTRICT NO, GROUP MAP - PFOCESSED BY Bt iLOfNGS 4k�' .��=�- .- 6�--- j .� BK PG t. r CONTRACTOR �" ADDRESS CONNECTION - _ -- _ --- CITY p ._ TEL_NO ✓ STATION } DEPTH ff �� STAT'E' MANHOLE REFERENCE STRATION NO. �- - C'OU'NTY J Y e '-! LOWER _. JNODvSCRIPTIQN OF FEE TYPE OF CONNECTION ><LENGTH-F - — HOUSE.SEWER CONN LT-N.G TOI Y CURB P M.L.TO P Lf, S PU BL C SEWER C $5.00 P.C.NO. O A.3 I SEPTiG Tk NK,SEEPAGE PIT OARr ��..�—_ 6®.NO. PITS AND/OR DRAINFIELD @' $10.00 +MP NO. J__—___—_ _ _-- HOUSE SEWER CONNECTING TO1 PRIVATE DISPOSAL SYSTEM $.3.00 TRJNiC PERMIT NO ROAD PERMIT iv O. WORK TO HOUSE SEWER n NECT ADDITIONAL-BLDG.OR $3.00 -- , - 1_ DATE:.. - - -- - - ---- -- - — __--- _—.- — — P.>-F117AYi7 I wA!•t E0.5EMENTI RECOR7-INSTR ?Y 0- � )VERFL.OW SEEPAGE PI,-DRAINFiELD E 7tT N.,C ES SPOOL,ORYW ELL.MAN HOLE Q -.___._ .—.____ __._: ___-_ .__. HWY.OR S'T,WIDENING ALTER,REPAIR OR ABANDON HOUSE SEWER OR DI"POSH, SYSTEM @ $''?.00 STATE ENCROA c:HMENT PERMIT NO, ---{----r----- INDUSTRIAL j WASTE APPROVAL � C}V'AR GES OYV NER�eJ PERMIT 2' 00 -----—— -----—— ---- _:_ CONNECTION CHARGE FEE AUTHORIZATION TOTAL 7 HAVE AT 7H15 DATE A CON'TRAC'T WITH THE HEREIN 'NAMED CON- REIMBURSEMENT FEE. TRACTOR TO CONNECT THE ABOVE DESCRIB ,EK IS7 ING DWELLING ---_ --- -- - _�.--- ---- - ----- --- ---- TO THE PUBLIC: EWE*-- ., �Y. APPROVALS- DAFE I NSF' 'CTOR S SiGNAT 'RE SIGNED THIS �'` Y Or — —. _..-- -- -- OWNER ORr NEW HOUSE SEWER WEIN - ONFRS AG �'wCONNECT � ' - AD•D I;TIONAL. i BUILDING OR WORK ADORE SS _— ___ -_PTIC.TANK SEEP.PIT(S) I 1 HEREBY AC,KNOWLEDGC THAT I HAVE READ THIS APPLICATION AND/ORD AI.NFIELD � AND STATE THAT THE ABOVE tr (,O4 RECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINA.NCF AND STATE LAWS REG'U'LATING ' PLUMBING AND SEW€RS, CESSPOOL LJ ORYWELL i I HEREBY CF'2TtPY 7} l 1 AM PROPIERL'+ EGISI FRED AND/OR ALTER,REPAIR,SEWER OR Li CEN ED AS REQUiR �Jl�Y LO'_ .�IfIGLF C LINTY ANp STATE: OF SEWAGE DISE C?SAL:iYS7Ef+1 C ALiFORN1A OR THA ^f AM THE LgGA.L O NE OF, AND INTEND Zj0 E.I rJGON NEGT P L UCS AND RESIDE IN,x E .,j.H E DESC R7BE RES AL P Y ABANDON HOUSES WER t S IGNATURF. 9A KFtLL SEPTIC.TANKS � I OF PE SEEP.FIT(5) r, CESSPOOLS �� I f LIDATION ROBERT A. WOOD SUPERVISING MECHANICAL. ENGINEER CK- M.O. CASH. 76sL -663'i 2.5d E APPLICATION ■ O R PERMIT 1•6G - DIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING WM.J. FOX, COUNTY ENGINEER _ADDRESS - CAESATT-D.GRIFFIN, SUP'T OF BUILDING LOCALITY FOR APDL ANT TO FILL IN NEARESTCROSS ST. LEGAL ZZLI DE5GRIPTION LOT N4. '. _ ''&._- - OWNER BLOCK TRACT1- MAIL _ _ ..---- ADDRESS NO. OF BLDGS. - S�ZE OF LOT NOW ON LOT CITY TEL.NO. USE OF _ BUILDINGSDISTRICT NO. GJ(OUP MAP I SK PG aaDREss CONNECTION DATA CITY" - - TEL. NC, STATION DEPTH Q STATE. MANHOLE REFERENCE REGISTRATION N0, Q COUNTY _.� UPPER _ L'6WER T OF CONNECTION LENGTH FROM NO. DESCRIPTION OF)NORK ,FEE Y. :ICURB P.L. M.L.TO,P.L. HOUSE SEWER CONNECTING TO PUBLIC_SE E_R e' $ 3.50 — HOUSE SEWER CON tECTING TO Z . _ PRIVATE DISPOSAL SYSTEM 1.00 ICONNECT ADDITIONAL BLDG. OR CO. IMP.NO. JO'VNO. WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING I -- I SEWER OR DISPOSAL SYSTEM 1.00 I TRUNK PERMIT NO. �ROAD.PERMIT NO. DISC1 AND/OR AND ABENE ON SEWER ... .I— STATL ENCROACHMENT AND/OR DISPOSAL.SYSTEM PI 7.00 I PERMIT NO. ..� SEPTIC TANK SEEPAGE PIT OR - --"—'— - --" � PITS AND/OR DRAINFIELD 2.00 CErSP00L- DRYWELL _ INDUSTkI;;L I - WASTE APPROVAL 4 .SPECIAL CONDITIONS ONLY - 2.00 I r CHARGES CdNhECffON CHARGE FEE �• AUTHORIZATION c yy Ovam's PERMIT $ I t OD A _.— IUtTHORIZA.TION TOTAL FEE � I R Et.iWURSEMF.NT FEE_ I HHV,, 'THIS DATE CONTRACTED WITH THE HEREIN NAMED CON- f6 1 TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE i iNFPECTOR'S SIGNATURE To THE PUBLIC SEWERi�-- -- NEW HOUSE SEWER SIGNED THIS-DAY OF OWNER OR CONNECT ADDITIONAL OWNERS AGENT _ BUi L_D_ING OR WORK SEPTIC TANK SEEP, PITS) A DDR.FSS ...._—_—�._:_ - ---- AND///OR DRAIIII'lEL.D 1 H5REDY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL O DRYWELL❑ AND STATE THAT THE A80VE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR PLUMBING AND SEWERS. _ SEWAGE DISPOSAL SYSTE_M I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR A. PLUG AND DISCONNECT - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONON N_CT CALIFORNIA OR THAT IM THE LEGAL OWN _DISCER OF THE ABOVE USE SEWER_ _Y DESCRIBED RESIDENTIAL PROPERTY, BACKFILL SEPTIC TANKS SEEP. PIT(S) Q. CESSPOOLS 0 SIGNATURE --._ _�..._.�. OF PER14ITTEE. . WILLIAM J. FOX,COUNTY ENGINEER VALIDATION by BY DEPUTY DEPUTY _ V ,, BY By � DEPUTY ��.: ia' ,.:c., •.---`._r` ��.