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Home My Public Portal About6147 ENCINITA AVE_Sewer__ 7BA662D APPLIC�lT16 FOR PERMIT CE9D9 9.08 COUNTY OF LOS ANGELES - SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDIBESNG IOHN A. LA,1111E. County Engineer ADD — CASSATT D. GRIFFIN, Sup t of Building LOCALITY c— NEAREST =APPLICANTPPLICANT TO FELL IN CROSS Sr(a (� yN0. 'J (/ OWNER �CT Y `/ MAIL ti� ) ADDRESS N0.OF BLDGS.NOW ON LOT / CITY TEL. NO. OF DISTRICT NO. GROUPMAP I PP OCE. _ ✓J EK PG � CONTRACTOR y9 "/J_ ADDRESS .'xr / �/,.I , _ G CONNECTION DATA CITY 9 TEL.NO. l �r J o 7i� STATI Oy DEPTH 1 A REGISTRATION N0. /STATE COUNTY MANHOLE REFERENCE V LOWER NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM R SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. QC PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD - EXTN.. CESSPOOL.DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO r P.C.NO. PRIVATE OI SPO SAL SYSTEM @ $t.00 CO.IMP. N0. JOB N0. CONNECT ADDITIONAL BLDG.OR 4 TRUNK PERMIT NO. ROAD PERMIT NO. �S WORK TO HOUSE SEWER @ $1.00 SEWER OR DISPOSFA SYSTEM HOUSE @ $100 STATE ENCROACHMENT PERMIT N0. +ei INDUSTRIAL ce WASTE APPROVAL CHARGES 1-- WNER'S PERMIT 5 CONNECTION CHARGE FEE HORIZATION TOTAL FEE � � REIMBURSEMENT FEE VE AT THIS DATE A CONTRACT WITH T,}1E HEREIN NAMED CON. TOR TO CONNECT THE ABOVE DES C BED EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE HE PUNED'TNEW HOUSE SEWER ER ORCONNECT ADDITIONAL ERS AGBUILDING OR WORK RESSSEPTIC TANK,SEEP. PIT($) AND/OR DRAINFIELD HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGALTER.REPAIR.SEWER OR MBING AND SEWERS. SEWAGE DISPOSAL SYSTEM HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER IFORNIA OR THAT ATI THE LEGAL/ NER F THE ABOVERIBED RESIDENTI PROPERTY. BACKFILL SEPi1C TANKSATURE5 EP.PITfS) ❑ CESSPOOLS ❑PERM ITTE •` ISROBERT A. WOOD cK. N..0.o, u9R SUPERVISING MECHANICAL ENGINEER x�a63 99 SEP 14 1 1 p 25 .00 �3 98A89APPLICATION FOR PERMIT 9eE8.DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL .Department of County Engineer ' County of Los Angeles BU1LD1nG T / e r� JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS l0 / L�[V ® CASSATT 0. GRIFFIN, SUPT OF BUILDING, �l, LOCALITY S A FOR APPLICANT TO FILL 1N caos"s sr. Kf� f- --LEGAL OWNER L 4c4" ' DESCRIPTION LOT N0. MAIL BLOCK TRACT fj 5 O ADDRESS NO.OF BLDGS. / 1 S12E OF LOT NOW ON L CITY 7 At TEL. NO. USE OF DISTRICT NO. GROUP MAP BUILDINGS BK PG CONTRACTOR ADDRESS 3 O �oso CONNECTION A DAT CITY T L. N J v J 2 � 3 1 I STATION y DEPTH Y� MANHOLE REFERENCE 417 STATE REGISTRATION 0. /v 7 �/rJ X ❑ COUNTY LOWER No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO �7 TYPE OF TION ` LENGTH FROM PUBLIC SEWER @ $ 3.50 S (J - Y. URB 1 .Lq\; M.L. TO P.L. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $ 3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD 7 P.JOB O. EXTN.,CESSPOOL,DRYWELL.MANHOLE @ $ 2.00 CO. IMP. N0. JOB N0. HOUSESEWER CONNECTING.TO _ PRIVATE DISPOSAL SYSTEM v $ 1.00 _TRUNK PERMIT NO. 1 f ROA,/FERM(T NO. CONNECT ADDITIONAL BLDG.OR - STATE ENCROACHMENT/ \ WORK TO HOUSE SEWER @ $1.00 PERMIT NO. 4. �y 1 ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL a ` r _ fj SEWER OR DISPOSAL SYSTEM Q $1.00 WASTE APP ROVALIIU V\, 1 CHARG CONNECT ON CHARGE FEEIV OWNER'S PE IT S 1 00 �✓ AUTHORIZATION TOTAL FEE // REIMBURSEMENT FE, I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NA_MYED CON- , APPROVALS DATE INSPECTOR'SSIGNATURE TRACTOR TO CONNECT THE ABOVE D RIBED EXISTING DWELLING / �[ TO THE PUBLIC $E1N %7 NEW HOUSE SEWER 7-j-, f77 . SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGE T SEPTIC TANK,SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD )� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY 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 LICENSED AS REOUIRED BY LOS ANG 5 COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNI THAT 1 AM THE AL OWNER OF THE ABOVE DESCRIBE RES RES ENT L PR PERTY BACKFILL SEPTIC TANKS 11 El SIGNATUR _SEEP. PIT(ST CESSPOOLS OF PERM" JOHN A. L IE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR C�✓✓ N.O. GSH ' "C-09 7 5 2 , ;?I 2 4 4 .5 2, "508 `3ea 14PPLI - 10N r�ev FOR PiRMIIT app ceeoe eCOUNTY OF LOS ANGELES �6 DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION ADDR95S : TORN A. LAMBIE, Couaty Engi...r T CASSATT D. GRIFFIN. Sup t of Bui)di— LOCALITY NEAREST FOR APPLICANT TO FILL IN CR LEGAL BT. A LEGAL -7 _DESCRIPTION LOT NO. .{� OWNER BLOCK TRACT ��Gi MAIL ADDRESS r NO.OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL, N0. USE 0D - DISTRICT NO. GROUP MAP P CESSEO BY BUILDINGS /} •/'• i/"i -tp� --/� BK PG Y CONTRACTOR y. F7' J .�A GLS 5 o p •_L I � J L'YL0.JCX/ ADDRESS �`j CONNECTION DATA CITY�� /9 /�+�J •TBC NO. . S ATIONe)3 -b DEPTH / STATE MANHOLE REFERENCE I VPPER .! REGISTRATION NO. / �/)�/�f/'' ®r COUNTY LOWER NO. DESCRIPTION OF WO K FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 , 'l O 5 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y, CURB P.L. M.L.TO P.L. PITS AND/OR GRAINFIELD @ S3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD E%TN., CESSPOOL. DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.N0. PRIVATE DISPOSAL SYSTEM @ S1.00 CO.IMP. NO. JOR N0. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK C HOUSE ADDITIONAL @ SI.00 ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. !NDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ Z 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE (7 REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBE�E%ISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWE 4/ SIGNED THIS�DAY OF 192 NEW HOUSE SEWER OWNER OR 2 / ;j '�> CONNECT ADDITIONAL OWNERS AGENT BVI(DING OR WORK s /! ADDRESS / ' P/ SEPTIC TANK,SEEP. YIi(5) AND/OR GRAINFIELD I HEREBY ACKNOWLEDGE THAT I 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 PLUMBING AND SEWERS. ALTER,REPAIR,SEWER OR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR SEWAGE DISPOSAL SYSTEM LICENSED AS REQUIRED BY, LOS ANGELES COUNT NO STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT 1/AM THE LEGALIOWNER THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTIAL PROPERTY. / BACKFILL SEPTIC TANKS ❑ SIGNATURE �� 7�C S EP. PIT(S) ❑ CESSPOOLS ❑ OF PERMITTE eF - DATION v ROBERT A. WOOD CK. Y.a, GSH SUPERVISING MECHANICAL ENGINEER iol LAC,0 6 5 9 8S� Sty 14 1 0 a 5 .0 0