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HomeMy Public PortalAbout8806-8808 LAS TUNAS DR_Sewer__ .7s?1N>F�iC't jM= Jii ]6A6<1D : 'APPLI'CATION F.OR PERIMfT 1:. S L E=869 11.55 4. DIVISIOIN,OF BUILDING AND SAFETY S_E,W1ER'',;�$EWAGE,DJ;SPOSAL f r T. Dep�tment of County Engineer �� '`F 1 +. Couay of Los AageleBr�„', eDlry � •'as” I.) `. '. a f ADDRESS I I% 6 'JOHNIA LIAMBIE COUNTY ENGINEER a > �yA�y�,, I® T _ ��IaGAEAT_& GRIFAFy1 Nw 3,auP a ILOINcs _ .t,Y �LO CAL411 Tf .y,y,C'" j� jt"AI' t '� AP,,PL_ICANTtT00FIIL'IN CRO SIsTat LEGAL 1 1 ..c. - ., ,,ly,,,,,}���• ti r -� -- .DESCRIPTION . LOT�'N0 41�� T 1 .OWNEN i 'tlTY•`•"kAil�S/}rt'� 1-�"�i�5%K L=R •, BLOCK TRACT -J to i:/� - AO RESSpp BOe`1 6T 'T' La�� 7 �•r/.) ('� '1 .` O::OF BLOCS. CITY .W(�1::.-" t EL'S NO.' �fJ�•','T, e51ZE OF'.LOT - NOW.ON LOT - ` USE'OF __ GBUILDINGB DISTRICT N'O..". GROUP MAP -YCONTRACTORjjL Cv 1 �p BK' / PG126 _ 'I{ ? e s5' :CONNECTION. DATA �.r 1 +�'f STATION : DEPTH T ,TEL..No {MANHOLE REFERENCE 440/ _ UPPER .� TATE .i `y' LOWER' ii .REGISTRA 0 N0:" %� A ❑ 'CO NTY I INO. DESCRIPTIOO�RI FEE �d TYPE OF CONNECTI LENGTH FROM .HOUSE' SEWER CONNECTING G TO � -Y- CURB P.L.J(' M.L.TO P.L. .PUBLIC SEWER'- @ S 3.50 SEPTIC;TA N K;iIEEPAG E,P I T OR PI TS`AN 0/O Rlh R AINFI ELD. ''Q S,3.00 OVERFLOW SEEPAGE PIT;GRAINFIELD CO. IMP. NO. P. C.NO. EXTN_CESSPOOL',DRY iELL,MAN HOLE- n $:2.00 o HOUSE-SEWERCO NNECTINGTO '. - PRIVATE DISPOSAL'SYSTEM. Q 81.00 TRUNK.PERMIT NO. _ ROAD PERMIT NO. _ CONNECT ADDITIONAL BLDG:OR '.STATE ENCROACHMENT WORK TO HOUSE SEWER (u1 31.00 PERMIT NO. I .ALTER•REPAIR OR ABANDON.HOUS_E 3 SEWER`OR DISPOSACSYSTEM' Q $1.00 'INDUSTRIAL - I A, ..... "'WASTE APPROVAL• - - CHARGES , CONNECTION CHARGE FEE '� U� OWNER'S PERMIT s oo 'REI AUTHORIZATION TOTAL FEE 5V MBURSEMENT:FEE I I HAVE AT THIS DATE.A CONTRACT WITH THE HEREIN NAMED CDN- APPROVALS DATE INSPECTOR'SSIGNATURE TRACTOR y CONNECT THE ABOVE!DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWE NEW HO USE SEWER EWER SIGNED THIS�DCONNECTADDITIONALN_ AL `J!{ ` 3 OWNEROR BUILDING R WORK OWNERSAGENT X SEPTIC TANK, P� SEEP, PIT(S) i - ADDRESS - AND/OR DRAINFIELD - - 1 HEREBY ACKNOWLEDGE THAT 1. HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑. - ANDSTATE.THAT THE .ABOVE IS CORRECT AND AGREE TO COMPLY` WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATINGALTER_REPAIR.SEWER OR• PLUMBING AND SEWERS, - SEWAGE DISPOSAL SYSTEM. I..HEREBY'CERTIFY' THAT I AM PROPERLY REGISTERED AND/OR DISCONNECTIPLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER' CALIFORNIA OR jHAT I' AM.THE LEGAL,,OWNER OF THE ABOVE' - DESCRIBED RESIDENTIAL PROPERTY. BACKFILLSEPTIC TANKS❑ - - SIGNATURE .t o-, SEEP. PIT(S)❑'CESSPOOLS❑ OF PERMITTEE . : •-,.. �•. ,.r' . JOHN A: LAMB .`COUNTY ENGINE ALIDATIOg ROBERT A: WOOD, CHIEF PLBG. INSPECTOR. -- . H 0 CASH _ ;a5 Tso N"21 4 ti 4:5'�'