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Home My Public Portal About4925 FRATUS DR_Sewer__ r D S&E-669 11.59 APPLICATION FOR PERMIT S lik E-6 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Deportment of County LEngineerCounty of Los Anges BUILDING JOHN A LAMBIE COUNTENGINEERADDRESS® CASSATT D GRIFFIN SUP T BUILDING LOCALITY FOR APPLICANT TO FILL IN c..S,ST LEGAL �1 OWNER DESCRIPTION LOT NO �" MAIL Iii �J p BLOCK TRACT � � 7 ADDRESS z NO OF BLDGS SIZE OF LOT Q NOW ON LOT CITY gyp , „�' TEL NO USE —BUILDINGS DISTRICT NO GROUP MAP ` _ BK PG CONTRACTOR CONNECTION DATA ADDRESS / CITY TEL NO h 0•� �� STATION _/_` DEPTH 7 MANHOLE REFERENCE UPPER ❑ STATE REGISTRATION NO 1 ❑ COUNTY No DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNECTION� LENGTH FROM PUBLIC SEWER @ $3 50 Y CURB L J M L TO P L SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3 00 OVERFLOW SEEPAGE PIT DRAINFIELD P C NO EXTN ,CESSPOOL,DRYWELL,MANHOLE c@li $2 00 CO IMP NO JOB NO FY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 00 TRUNK PERMIT NO ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER a $1 00 PERMIT NO ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM c[7i $1 00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNERS PERMIT S 1 00 AUTHORIZATION I TOTAL FEE 1i I REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER _ NEW HOUSE SEWER _ SIGNED THIS DAY OF " A 19. _ CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AG / SEPTIC TANK,SEEP, PIT(S) , E T ADDRESS ✓ W6, AND/OR DRAINFIELD I HEREBY ACKN OW LEDGE!THAT I HAVE'READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI L P OPERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT(S) ❑-CESSPOOLS❑ OF PERMITTEE JOHN A LAMBX. COUNTY ENGINEER VALIDATION —.y ROBERT A WOOD, CHIEF PLBG INSPECTOR CK M 0 P!C—ASH�'A EG4973U) FO 4 4.550- N 6D S&E88 f i 5S APPLICATION FOR PERMIT 1 S 8 6 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles TADDRESS LDING J f G� p—t7 A v S JOHN A LAMBIE COUNTY ENGINEER /�1+ �l fTCASSATT D GRIFFIN SUP T OF BUILDINGALITY G FOR APPLICANT TO FILL IN CROSS ST LEGAL OWNER DESCRIPTION LOT NO a?' �([ y MAIL BLOCK TRACT 1 (..( 4r / �j� ADDRESS NO OF BLDGS v' CITY TEL NO SIZE OF LOT NOW ON LOT USE OF DISTR�0 I GROUP I MAP BUILDINGS .lam^ BK PG CONTRACTOR ADDRESS � 'Oe7 Hes% CONNECTION DATA CITY TEL NO D Lp STATION DEPTH MANHOLE REFERENCE UPPER ,y El STATE LOWER REGISTRATION NO 3 �/ ❑ COUNTY / [� NO DESCRIPTION OF WORK FEE 13 HOUSE SEWER CONNECTING TO TYPE OF CONNECTION LENGTH FROM PUBLIC SEWER @ Y CURB P L M L TO P L SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD t@ $300 OVERFLOW SEEPAGE PIT DRAINFIELD P C NO EXTN CESSPOOL,DRYWELL,MANHOLE @ $2 00 CO IMP NO JOB NO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM a $100 TRUNK PERMIT Na, ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR ^ , STATE ENCROACHMENT WORK TO HOUSE SEWER @ $100 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM @ $100 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT S 00 REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR SSIGNA SURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGENT SEPTIC TANK,SEEP, PIT(S) ADDRESS90, AND/OR DPAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AN LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF D ABANDON HOUSE SEW D CALIFORNIA OR THAT I AM THE-LEGAL OWNER OF THE ABOVE ER DESCRIBED RESIDENTIA P PERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT(S) ❑ CESSPOOLS[:3 _ OF PERMITTEE JOHN A LA IE IfOUNTY EN61'NEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR CK N O� 1 0 a 3.0 0