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HomeMy Public PortalAbout5724 OAK AVE_Sewer_8/21/1956_a2D S&E�863356 APPLICATION B & DIVISION OF BUILDING AND SAFETY Deportment of County Engineer 1 County of Los Angeles , WM. J. FOX, COUNTY ENGINEER CASSATT 0. GRIFFIN, SUPT OF 131ILlINI ' �I{.LLi,Y,I iIIII:11id NYi Yi YllilYihWIJ!!{iW.Jla.'AI Ai.i11wil" . hl,lil.I it .Illy LEGL FOR APPLIC�A/NTTjj TO FILLY IN, DESCRIPTIONI LOT NO. BLOCK TRACT %✓� SIZE OF LOT NO. OF BLDGS. NOW ON LOT IMP eC ._ _... CONTRACTOR &I I? � 1N i^�i ! /y A [• ADDRESS �.a� 1 l ! /^ �T/ ♦S' .l q CITY �,1 4•� / TEL. N0. 1,Q REGISTRATION N0, l� /' / ❑ STATE 7 ❑ COUNTY No. I DESCRIPTION OF WORK FEE 1 HOUSE SEWER CONNECTING TO �J PU LIC W(Rl 5 3.50 V HOSE SEWSEEERR CONNECTING TO .gggMPRIVATE DISPOSAL SYSTEM CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING - -- SEWER OR DISPOSAL SYSTEM 1.001 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.001 I SEPTIC TANK, SEEPAGE PIT OR - --- PITS AND/OR GRAINFIELD CESSPOOL - DRYWELL _ 00 _ SPECIAL CONDITIONS ONLY 2.00 OWNER'S PERMIT $1 1 00 AUTHORIZATION TOTAL FEEs9'' 7." HAVE THIS DATE CONTRACTED WITH THE HEREIN NADCON. TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING - TO THE PUBLIC SEWER FOR PERMIT 1 SEWER—SEWAGE DISPOSAL uYl U.twt.m 11L'i:IIYYIl Nalli YII:WIII Mi1Bl 1114 1, 111.•I..1111111 J. p i LJ I111iuY 11 I..I u,l lull,ill'1 Sul LOING� ADDRSSS � ' 1 �P LOCALITY fl7ZE �ar,TY 41I NEAREST 99 � ��C CROSS ST. . = OWNER p_ MAIL:Zci Ya ADDRESS CITY ' F.'�'4!i NN ((!!//��'YY� !!ll '% TEL. NO./WIh14I.P:IC s. illi dl diJrY.Nl u,1 J.L�LIIIJJlgn II41n ll,,.IlL lu, .I BK MAI �,IIIIll&In DISTRICT NO. GROUP ,MAI s � I � ,,34 _ CONNECTION DATA STATION-;! �; 3._ DEPTH 6 r MANHOLE REFERENCE i'//! .q )jr TYP CURB�ECTIO _ LNTH FRO MEL GTO P.L.M aj S ! TRUNK PERMIT NO. STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CONNECTION CHARGE FEE REIMBURSEMENT FEE APPROVALS SIGNED THIS PAY OF Ig NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT l� )/f/�� BUILDING OR WORK ADDRE« ` �/ - -A�Y- / �' SEPTIC TANK, SEEP, PIT(S) ICATION AND/OR DRAINFIELD AND HSTATE THAT THE EABOVEDGE HST CORRECT I HAVE AND AGREEAD THIS TOCOMPLY CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. ALTER, REPAIR, SEWER OR u CEN5ED AS R CALIFORNIA OR DESCRIBED RESI SIGNATURE OF PERMITTEE WILLIAM J. FC T 1 AM PROPERLY REGISTERED AND/OR Y LOS ANGELES COUNTY AND STATE OF AM THE LEGAL OWNER OF THE ABOVE ROPERT/Y. COUNTY P. C. NO. JOB NO. ROAD PERMIT NO/a/0 /r� CHARGES SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER ��// TANKS SEEP.FILL PIT(SEP❑ C ESSPOOLSId, / DATTE( �I INSPECTOR SSIGNATURE- I I � I_ R. A. WOOD, CHIEF PLOG. INSPECTOR �S` ��Yi'!.�-L� •ate § � § 5 \\ ) § $§ \ \ 13 \\ & , ,3 ( / m mm §q] ram . / § -JE4 § � § 5 ) § $§ 33§ § 13 -1 ([' , ,3 m m mm §q] ram . / § -JE4 —3 § w g =m /0 am ° & § = c ) r - @] m<2 Q`® [ ] /C)0—cameo n ___ em\= () ^ q\ RR © 4 C) = ^ ^ 2 / \ m{ \ \ § \ m M \ �\ rn g /m K M § � § 5