HomeMy Public PortalAbout5721 OAK AVE_Sewer_9/22/1954_DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES n r�
ADDRESS
WILLIAM J. FOX. COUNTY ENGINEER BUILDING
Iij ,f•/ �J �.ry,.y.
a DC �. (l(j„(SP r1SiQq/
..,...,..Y' FOR APPLICANT TO ,.5.?�,,,...,_ t Pn ni
%N - LOCALITY
BUILOIN IN NEAREST ,�✓ J
ADDRESS CROSS ST. 04�) J�v.v�ILA-.
LOCALITY
` DISTRICT NO. SERIAL NO. `{ PERMIT NO.
NEAREST .TA-
. - - A 63 S
CROSS ST. A -S 7-Uq/yA,-5c RECEIVED BY! Reedy for Inspection DATEISSUED
OWNER ��• /-)A-AA JL>/
AMAIL
DDRESS G Y / USE ZONE OCCUPANCY BK�Mf! Q
�� /,�
CITY TEL.NO. _ .� li-C-�1 I L
CONTRACTOR lei
��L F• SLk.A' p/'�A�l/.=,�JIIIINO.
ADDRESJ � �7G0,[ E- iPtA Y y_ JOB. NO. C���
CITY nA 7r A) TEL.N�O./p'I TRUNK PERMIT NO. --�-
u 'T z STA r
REGISTRATION N0. 4 ROAD PERMIT N0.
LEGAL P' n r ` '- STATE ENCROACHMENT,..__.
DESCRIPTION LOT N0. . l ,I PERMIT NO. -'
BLOCK TRACT 7n 576 �INOUSTRIAL
`'BLOBS. 2 WASTE APPROVAL
SIZE OF LOT b NOW ON LOTCHARGES
USE OF ,j ^, ''L CONNECTION CHARGE EE
BUIL
UI LOINGS //�
- NO.I DES 1 IPTION OF WORK FEE REIMBURSEMENT FEE\ /
HOUSE SEWER CONNECTING TO
I PUBLICSEWER 0 $ 3.50 I RECEIPT NO. y DATE IBY
HOUSE SEWER CONNECTING TO V `\
PRIV AT EDISPOSAL SYSTEM 1.00
CO NN ECT ADD IT
NA L BLD G. OR �XCEPTI�N RECORDED
WORK TO HOUSE SEW R I.00 =
ALTER OR REPAIR EX STING '^0.
ATE IBY
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 GRAINFIELD 2.00 STATION / �- DEPTH , d
CESSPOUL—DRYWELL A
SPECIAL CONDITIONS ONLY 2.00 94 S i MANUPPER REFERENCE
�
TYPE OF CONNECTION LENGTH FROM J^U^
�T•Yrs` CURB M.L. TO P.L.J L�
OWNERS PERMIT S sL 00
AUTHORIZATION I TOTAL PEE Io .S(�_
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTIR'SSIGNATURE DATE
DWELLING TO THE USLIC SEWER i � r
- SIGNED THIS_ BE _ _ _I - - NEW HOUSE SEWER
CONNECT ADDITIONAL I v
OWNER OR BUILDING OR WORK
OWNERS AGEN ... ... ..�._._. _. _._..
SEPTIC
ADDRESS -------- _. _._- ... AND/OR GRAINFIELD IT(S)
I HEREBY ACKNOWLEDG THA I HA E READ THIS APPLI- CESSPOOLS DRYWELL I]
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 ANDSEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED =DISCONNECT PLUG AND
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY _ ABANDON HOUSE.SEWER .I
AND STATE OF CALIFORNIA 0 THAT I AM THE LEGAL OWN-
ER OF THE ABO RIB R ENTIAL PROPERTY. BACKFILL SEPTIC TANKS
Q /(
SEEP.PIT(S)CESSPOOLS, pCh,.; �� ( 11Z /,r,SIGNATURE
OF PERMITTEE...
76A6 2A 663 7/53
FOR DEPARTMENT USE
REQUIRED INFORMATION
1. INDICATE ALL BUILDINGS ON PROPERTY.
2. INDICATE AND DIMENSION SEWAGE DIS-
POSAL SYSTEM WITH TIE DISTANCES TO
BUILDINGS AND PROPERTY LINES.
3. INDICATE SIZE OF SEPTIC TANK—DEPTH
OF SEEPAGE PIT(S)—SIZE OF CESSPOOL(S)
4. INDICATE NORTH DIRECTION ON PLOT,
5. INDICATE BOTH STREETS IF CORNER.
LEGAL DESCRIPTION
Fre ,M6- GAG•,'
q"' ✓. C.P.
CF✓r� rJm r
J1/�� rvav
--I 3
41
4 y�
I
ST. ALLEY R/W
FIELD NOTES
x. , /5�
/Vt /� L / ortc%°
��^/%t
7' s� - o c, nr c rac C )P
SdvS c7nrLy /C/� -�PH.4N /J,�T•
C>��.IsTr/ yi%T 7((��"TG.C.<...`fff. .. _.'
i