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Home My Public Portal About9744 CRAIGLEE ST_Sewer__ -61 76A642D G'VIl PUCATMN FOR PER . 76A 642 _ COUNTY OF LOS ANGELES SEWER-SEWAGE DOSP® DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING _ JOHN A, LAMBIE, County Engineer ADDRESS WILLIAM A. JENSEN, Sup't of Building_ LOCALITY NEARES FOR APPLICANT TO FILL IN CROSS sILI, LEGAL OWNER DESCRIPTION LOT NO. BLOCK TRACT MAIL ADDRESS NO.OF BLDGS. SIZE OF LOT. NOW ON LOT CITY L. NO. USE OF BUILDINGS DISTRICT NO GROUP MAP PROCESSED BY T I BX PG CONTRACTOR !+/'.� ADDRESS C NNECTI DATA CI ,q TEL.N0. hh / STATION �5 PTH REGISTRATION NO. -(,� _ 6 6s COUNTY,STATE MANHOLE REFERENCE 9. 115--1 UPPER—) ' NO. DESCRIPTION OF _WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD �- EXTN..CESSPOOL.DRYWELL @ $2.00 _ CL CL HOUSE SEWER CONNECTING TO - P.C.NO. O PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. V CONNECT ADDITIONAL BLDG.OR TRUNK PERMITNO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1.00ad SEWEWOR DISP OR ABANDON SAL SYSTEM HOUSE @ $1 00 STATE ENCROACHMENT 0 PERMIT NO. INDUSTRIAL {!J WASTE APPROVAL d N CHARGES 7 OWTEWS PERIVjtT $ 1 2100 CONNECTION CHARGE FEE AMORIZATION TOTAL FEE D REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- . TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATEa INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19— NEW HOUSE SEWER OWNER OR - CONNECT ADDITIONAL - OWNERS AGENT. BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) - : AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT t' HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY : CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESID AL PROP RTY BACKFILL SEPTIC TANKS ❑ SIGNATURE G _ SEEP.PIT(S [ICESSPOOLS OFPERMITTE VALIDATIO ROBBRT A. WOOD cX. H.0, CAsx SUPERVISING MECHANICAL.ENGINEER f .,,. -62 j. _/// 76A6420 APPUCATION FOR �� RMOT �/7TCp COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING i _ -- JOHN A. LAMBIE, County Engineer ADDRESy — WILLIAM A. JENSEN. Sup't of Building f ni LOCALITY / NEAREST FOR APPLIC71NT TO FILL IN DRDBB BT. LEGAL DESCRIPTION LOT NO. OWNER _ L MAIL BLOCK TRACT ) ADDRESS NO. OF BL GS. SIZE OF LOT, NOW ON LOT CITY TEL. NO. USE OF DISTRICT NO. GROUP MAP PROCESSED BY BUILDINGS _ ^ BK PG . CONTRACTOR y C`r 57 3 ADDRESS ` CONNECTION DATA CI Y - I J�� TEL. NO. �/• G J/1" STATION DEPTH v /� TATE MANHOLE REFERENCE UPPER , REGISTRATION NO. G)/ ? E:] COUNTY NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION .L. LENGTH FROM [ HOUSE SEWER CONNECTING TO �} Y. CURB M.L.TO P.L. / PUBLIC SEWER @ $5.00P.C. NO V O SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $10.00 CO.IMP. NO. JOB NO. �y HOUSE SEWER CONNECTING TO TRU P OAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 {{O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT AIV EASEMENT RECORD.INSTR.NO. DATE WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN.,C ESSPOOL,DRYWELL,MANHOLE @ $5.00 s$ ALTER,REPAIR OR ABANDON HOUSE HWY. OR ST.WIDENING SEWER OR DISPOSAL SYSTEM @ S3.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL ? CHARGES OWNERS PERMIT. $1 21 00 AUTHORIZATION TOTAL FEE a 09CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIB D E%ISTIN6 DWELLING TO THE PUBLIC SE Wf Rr' APPROVALS / 9AT INSPECTOR.IS SIGNATURE SIGNED THIS f DAY OF 19 r OWNER OR '- NEW HOUSE SEWER OWNERS AGENT ��' - �-J -7 CONNECT ADDITIONAL ADDRESS l - BUILDING OR WORK SEPTIC TANK.SEEP,PIT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION " AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING . PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT 1 M 7HE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABO DESCR ED RESIDENTIA ROPERTY. ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE ❑ SEEP,PIT(S) El CESSPOOLS VALIDATION ROBERT A. WOOD CK. M.0. �A. SUPERVISING MECHANICAL ENGINEER CK. M.O. CE808 3-61 �" 76A6420 QPPUC A 1 MN FOR �iG�31MV1 ��f COUNTY OF LOS ANGELES SEWER—SEWAGE D D SPOS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A, LAMBIE, County Engineer ADDRESS _ e WILLIAM A. JENSEN, Supt of Building LOCALITY NEAREST FOR APP11CAM TO F'UI IN CROSS ST. LEGAL OWNER DESCRIPTION LOT NO. BLOCK TRACT MAIL ADDRESS 0.OF BLDGS. SIZE OF LOT, NOW ON LOT CITY TEL. NO USE OF BUILDINGS DISTRICT N0; GROUP MAP PROCESS EY (Q_?/ BK PG CONTRACTOR ADDRESS CONNECTION DATA CITY STATION v DEPTH .J o MANHOLE REFERENCE UPPER REGISTRATION NO. COUNTY NO. DESCRIPTION OF R FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ .00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR T. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $11.00 OVERFLOW SEEPAGE PIT,DRAINPIELD d EXTN..CESSPOOL.DRYWELL @ .00 HOUSE SEWER CONNECTING TO P.C.N0. /�'''' O PRIVATE DISPOSAL SYSTEM C. 0 CO.IMP. NO. dDB.NO. t7 U CONNECT ADDITIONAL BLDG.OR 17,1 0, - TRUNK PERMIT NO. ROAD PERMIT NO. d' WORK TO HOUSE SEWER 0 ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT //^� O S W R R DIS OSAL SYSTEM @ .00 PERMIT NO. 91 V INDUSTRIAL a L STE P VAL B CHARGES1 K n z OWNER'S PERMPT $ 2 00 CONNECTION CHAR F'EEa AUMORMATIOI� TOTAL FEE 0's. REIMBURSEMENT EE!' Iyr� g g I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- A Ih TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPR 11; �' DA INSPE TOR'S SIGNATURE TO THE PUBLIC SEWER. / 1 SIGNED THIS DAY OF 19— NEW HOUSE SE ER/ � olyv.A a t OWNER OR CONNECT ADDI 0 A it OWNERS AGENT_ - BUILDING OR W RK M 1 (I 6 }J ADDRESS SEPTIC TANK,S E?PIT(S) AND/OR DRAIN ;IELD I I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY CESSPOOL ❑.%•DRYWELL 0 TV WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DI§POSAL SYSTEM �6 1 HEREBY CERTIFY THAT 1 AM PROPERLY-REGISTERED AND/OR DISCONNECT PLUG AND � C w LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER --. CALIFORNIA OR THAT 1 AM THE LEG OWNER OF THE ABOVE DESCRIBED REST TI R BACKFILL SEPTIC TANKS ❑ SEEP.PIT(S ❑ CESSPOOLS 3 SIGNATURE OF PERM ITTE ... -.i;-r..-- - r' .y, MMAIION ROBERT A"WOOD cK n.o. WH SUPERVISING MECHANICAL ENGINEER �.r`U0 2 8 8 3 PR j.1 D 5.0i Q- CARCELLED AT REhU,LST Or � PERMITTEE