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HomeMy Public PortalAbout9816 FLAHERTY ST_Sewer__ CEBDB 12-68 76w 6420 APPLICATION- FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Flahert St. COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple Cit NEAREST Golden West FL,C.SE OR APPLICANT TO FII.L IN CROSS ST. L A Bowen TION LOT NO � OWNER �I MAIL TRACT ,/`! d"'� ADDRESS 1620 Melanie Ln. NO OF BLDGb. LOT NOW ON LOT , CITY TEL. NO. GS ReT� DISTRICT NO. ROUP MAP PROCESSED BY s. f` � BK PG TOR e e erv' e -- 2 Maxson Ad. CONNECTION DATA Fl TEL NO 444-2o2o STATION !7 !79 ^^^��� DEPTH NO 1.288 0 C AATE LIC SS C-42 MANHOLE REFERENCE 7� " W -Y- NO. UPPER J�Clft� NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P.L M.L.TO P L. PUBLIC SEWER S5 00 P C.NO. SEPTIC TANK,SEEPAGE PIT OR CO.IMP.NO. /3 JOB NO. PITS AND/OR DRAINFIELD @ f10.00 HOUSE SEWER CONNECTING TOTRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM $300 59 6 CONNECT ADDITIONAL BLDG OR AFFIDAVIT I WAIV[R EASEr[Mi RECORD INSTR NO DATE WORK TO HOUSE SEWER @ S3.00 V OVERFLOW SEEPAGE PIT DRAINFIELD EXTNCESSPOO ANHOLE t5 00 HWY OR ST WIDENING ALTER.REPAIR ORR ABANDON HOUSE C) SEWER OR DISPOSAL SYSTEM $300 STATE ENCROACHMENT d L` ry PERMIT NO. ^� C/)A INDUSTRIAL WASTE APPROVAL OWNERS PERMIT s 21 00 CHARGES �p CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON-[ABANDON BURSEMENT FEE TRACTOR TO-CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INS TOR'S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR OUSE SEWER OWNERS AGENT_ ECT ADDITIONAL ADDRESS ING OR WORK I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONC TANK.SEEP,PIT(S) OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. OOL ❑ DRYW ELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORR,REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OFGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ND INTEND TONNECT PLUG AND RESIDE IN, THE ABOVE: BED RESIDENTIAL OPERT DON HOUSE SEWER SIGNATUREFILL SEPTIC TANKS ❑OF PERMTTTE PITS) ❑ CESSPOOLS VALIDATION JACK R. ALLEN CK M O„ CASH SUPERVISING MECHANICAL ENGINEER �kHR17 1 a D 2 5.00- 4 7458 8420 - APPLICATION FOR PERMIT 76A 8D � COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING G; Flaherty St. JOHN'A. LAMBIE, COUNTY ENGINEER ADORE39 COLEMAN W. JENKINS. SUPT. OF BUILDING Temple City LOCALITY NEAREST Golden West FOR APPLICANT TO FILL IN `ROSS ST. LEGAL p DESCRIPTION LOT NO. OWNER $• Bowen MAIL. ' BLOCK TRACT 1?&2 g ADDRESS 1620 Melanie Ln. NO. OF SLOGS. SIZE OF LOT NOW ON LOT 1. CITY Arcadia TEL. NO. USE OF DISTRICT NO. GROUP MAP PROCES'S'ED'S Y BUILDINGS /y� BK pPC CONTRACTOR Sewer Service R©4 ADDRESS 2931 Maxson Rd)). CONNECTION DATA CITY El Montte� TEL NO. 444-' 2020 STATION �Z^�-°�" DEPTH LICENSE NO. 1288 0 LIC C-42 MANHOLE 306E 7$' _ UPPER CI..ASS V NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P.L M L TO P.L ' PUBLIC SEWER Q 55.0000 SEPTIC TANK.SEEPAGE PIT OR P C NO. PITS AND/OR DRAINFIELD @ $1000 CO.IMP NO JOB NO. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $3 00 TRUNK PERMIT NO ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR AFFIDAVIT wAlvEM ¢ASEMExT RECORD INSTR NO DATE WORK TO HOUSE SEWER 33.00 V OVERFLOW SEEPAGE PIT DRAINFIELD O EXT N CESSPOOL DRYWELL.MANHOLE @ $500 ALTER,REPAIR OR ABANDON HOUSE HWY OR ST.WIDENING C..7 SEWER OR DISPOSAL SYSTEM @ $3 00 STATE ENCROACHMENT CLwel I. W PERMIT NO N 4 INDUSTRIAL Z WASTE APPROVAL CHARGES OWNERS PERMIT $ z 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE 00 IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR TO-CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE / IN CTOR'S SIGNATURE SIGNED THIS DAY OF 19_ 10 OWNER OR NEW HOUSE SEWER �f OWNERS AGENT_ CONNECT ADDITIONAL ADDRESS BUILDING OR WORK I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SEPTIC TANK,SEEP.PIT(S) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS ` CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REZ'R70TY TERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNAND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AMBOVTHE LEGAL OWNERAND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE AE D RIB RESIDENTIA ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMTTTE SEEP PIT(S) ❑ CESSPOOLS ❑ VALIDATION JACK R. ALLEN CK. M O CASH SUPERVISING MECHANICAL ENGINEER ►µRr 9 5 -� 09 h�,"l7 1 = 0 7.00- ^ i