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Home My Public Portal About9402 KENNERLY ST_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY EN13INEER BUILDING ADDRESS 4,.(5 0 Y©Q FOR APPLICANT TO FILL IN LOCALITY BUILDING �J� 1 NEAREST ADDRESS �Q 4 CROSS ST. _ .p LOCALITY DISTRICT NO. A SERIAL NO. PERMIT NO. NEAREST �J.t1 'Ty ��Z© / J CROSS ST. — ,q RECEIVED BY Ready for Inspection DATEISSUED OWNER ,* aMAIL m � � p>F ps + USE ZONE OCCUPANCY MAP ADDRESS — I I BK PO CITY TEL.NO. CONTRACTOR I WWI ADDRESS n ) i �.(��1 JOB.NO. /— Q CITY i y TEL.NO. ,,6�1��1l? TRUNK PERMIT NO. REGISTRATION NO. ?/-7 4/1 "d-" `2 B TCOU"TAN;TaY ROAD PERMIT N0. LEGAL STATE ENCROACHMENT �y DESCRIPTION LOT NO. Q - PERMIT NO. BLOCK TRACT � / INDUSTRIAL WASTE APPROVAL SIZE OFLOT SNO.OF NOW ON LOTS / CHARGES USE BUILDINGS CONNE ON CHARGE FEE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT PUBLIC SEWER Q $ 3.50 RECEIPT NO. D IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR XCEPTION RECORDED WORK TO HOUSE SEWER I.00 ALTER OR REPAIR EXISTING NO' I DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR L / PITS AND/OR DRAINFIELD 2.00 STATION a-•T� �� DEPTH CESSPOOL—DRYWELL _SPECIAL CONDITIONS ONLY 2.00 Q I MA_UPPE ).REFERENCE TYPE OF CONNECTIO LENGTH FROM - aCtYR_�,. P.L. h1.L.TO P.L. Z] OWNERS PERMIT $ IF DD AUTHORIZATION TOTAL FEE I HAVE THIS DATE'CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS.-__.._.._._.DAY 19__ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT..........._.__..-......___. -._.._.._ --. BUILDING OR WORK _.r��.._. SEPTIC TANK,SEEP.PIT(S) ADDRESS....---••-•-•-_-.._.__._............................................. AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[:] DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND DISCONNECT PLUG AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOPLUGAND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBED RESIDENTIAL_PROPERTY. BACKFILL SEPTIC TANKS E] r SEEP.PiT(S)E] CESSPOOLS❑ SIGNATURE OF 76A642A 663 7/53 j -81 76A6423-61 APPLICA ION FOR ERMIT 8A842 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A, LAMBIE, County Eni�nneer ADDRESS WILLIAM A. JENSEN, Sup't of gm.Mg LOCALITY NEAREST FOR APPLICANT TO FELL IN cRoss ST LEGAL O OWNER DESCRIPTION LOT N0. - BLOCK TRACT © MAIL ADDRESS ! 1 NO.OF LOGS. SIZE OF LOT 11fNOW N LQT CITY' TEL. NO USE OF BUILDINGS' DISTRICT N0. yP MAP PROCESSED BY BK PO CONTRACTOR ,jr V S �+ LC' _ D' K` Q ADDRESS CONNECTION DATA CITY TEL.NO. STATION _2f 0 DEPTH . /. STATE MANHOLE REFERENCE UPPER REGISTRATION NO. B COUNTY NO. I DESCRIPTION OF WORK FEE �/ HOUSE SEWER CONNECTING TO /D^� r je�JTO!% ,M PUBLIC SEWER @ $3.00 TYPE OF CONNECTIO LENGTH FROM ! SEPTIC TgNK,SEEPAGE PIT OR Y. CURB P.L M.L.TO P.L. 7 PITS AND/OR DRAINFIELD 53.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL.DRYWELL @ 32.00 a HOUSE SEWER CONNECTING TOP.C.N0. O PRIVATE DISPOSAL SYSTEM @ S1.00 CO.IMP. N0. JOB N0. V CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER 51.00 O ALT R,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT ` S R O DISPOSAL SYSTEM @ $1.00 PERMIT NO. INDUSTRIAL WASTE APPROVAL n- N CHARGES Z OWNERS I PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE L O0 REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESC BED EXISTING DWELLING APPROVALS DINSPECTOR'S SIGNATURE TO THE PUBLICS ER. PATE/( SIGNED THIS OF 9 NEW HOUSE SEWER 17,��fA " �, % _"�' � OWNER OR CONNECT ADDITIONAL 0 �r BUILDING OR WORK ADDRESS —SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY/A KNOWLE G THAT I. HAV READ T IS API(LICATIONI AND STATE THAT THE ABOVE IS*CORR T AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL WITH ALL COUNTY ORDINA CES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR _ PLUMBING AND SEWERS��/ SEWAGE DISPOSAL SYSTE 1 HEREBY CERTIFY AM PROPERLY R RED AND/OR DISCONNECT PLUG AND LICENSED ASREOUI LOS ANGELES CO TY D STATE OF ABANDON HOUSE SEWER CALIFORNIA ORTH M THE GAL 0 THE ABOVE BACKFILL SEPTIC TANKS ❑ DESCRIBED RESIDE L P ERTY. SEEP.PIL S CESSPOOLS SIGNATURE OF PERMITTE VALIDATION ROBERT A. WOOD cK. X.O. GSR SUPERVISING MECHANICAL ENGINEER :!moo 1 5 Z o 3 c o 5 .0 0 r.