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Home My Public Portal About9014 LAS TUNAS DR_Sewer__ ISOB 1APPLICATION FOR PERMIT {A 642D0 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDREBB Q/ S /l COLEMAN W. JENKINS. SUPT. OF BUILDINGG�� T/ LOCALITY � L: NEAREST •�j� � J-fG I Il U FOR APPLICANT TO FML IN CROSS BT 1� 4 L GAL DESCRIPTION LOT NO OWNER �Q MAIL BLOCK TRACT ADDRESSNO OF SIZE OF LOT NOW ON LOT 6 .2— CITY L �.{/ //� TEL NO. �3 USE OF / BUILDINGS O G�n / DISTRICT NO. GROUP MAP PROCESSED SY L.� Pte, [.� SK PG CONTRACTOR/t/ Of �./ Oi G LJj O •�- ({� ADDRESSg /Z p v E dt CONNECTION DATA 413121 CITY �(/ ro 7EL NO -31 O �- STATION DEPTH L/ I MANHOL EFERENCE UPPER LICENSE NO CLASS ER NO DESCRIPTION OF WORK FEE TYPE OF C ECTION LENGT M HOUSE SEWER CONNECTING TO Y CUR P L M P L ' PUBLIC SEWER @ $5 00 NO SEPTIC TANK SEEPAGE PIT OR CO IMP NO OS NO PITS AND/OR ORA INFIELD ® $1000 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PER O } PRIVATE DISPOSAL SYSTEM ® $300 d CONNECT ADDITIONAL BLDG OR AFFIDAVI AIY[■ [�5[M[MT RECORD INSTR NO ATE O WORK TO HOUSE SEWER 0 $300 _ U OVERFLOW SEEPAGE PIT DRAINFIELD E%TN CESSPOOL DRYWELL MANHOLE 0 S500 OHWY OR ST WIDENING ABANDON HOUSE U 98Mt•E!F'CIl•DISPOSAL SYSTEM @ S300 m ICJ LLJ STATE ENCROACHMENT � PERMIT NO fn Z INDUSTRIAL WASTE APPROVAL OWNER'S PERMIT s 2 00 CHARGES AUTHORIZATION TOTAL FEE L QQ CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO-CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC SEWER DATE INSPECTORiS SIGN T SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER a �� OWNERS AGENT_ 4 CONNECT ADDITIONAL G ADDRESS BUILDING OR WORK /Ir 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SEPTIC TANK,SEEP,PIT(S) ' AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL [IDRYWELL El I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ID/OR ALTER,REPAIR,SEWER OR n yy� �J, I LICENSED AS REQUIRED S ANGLES COUNTY A E O SEWAGE DISPOSAL SYSTEM G V j'-� CALIFORNIA OR THAT T E LEG OW N O DISCONNECT PLUG AND RESIDE IN, THE AS E RIBED ESI Y ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS OF PER MI'TTEE P PIT(S) ❑ CESSPOOLS VALIDATIO JACK R. ALL N CK M 0 cA�___/ SUPERVISING MECHANICAL ENGINEER { A�' 3 5 �8 1r_ FEB 3 1 0 D 5.0 0N EGOS 1z-°° QA 642D APPLICATION FOR PERMIT" � COUNTY OF LOS ANGELES SEWER-SEWAGE DlSPOS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FA..RE. JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT OF BUILDING FOR APPLICANT TO ML IN LEGAL DESCRIPTION LOT NO OWNER f MAIL r BLOCK TRACT ADDRESSmt;tp NO OF SLOGS. I. SIZE OF LOT NOW ON LOT CITY TEL NO. 'BUILDINGS ..�A DISTR CT NO. GROUP MAP .PR OCEpSED BY BK PG lel ICONTRACTO f �• 1. �..w... 'ADORE-salql F CONNECTION DATA QITV 0S TEL NO r STATION DEPTH • I STATE LIC MANHOLE REFERENCE UPPER LOWER LICENSE NO CLASS NO I DESCRIPTION OF WORK FEE TYPE OF CONNECTIONLENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L r PUBLIC SEWER @ $5 00 a SEPTIC TANK S RAFPIT OR CO IMP NO JOB NO PITS AND/OR DINFIELD P C NO O � :1000 U i HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM @ $300 LII CONNECT ADDITIONAL BLDG OR AFFIDAVIT I WAIVES EASEMENT RECORD INSTR NO DATE J WORK TO HOUSE SEWER Q S300 LL OVERFLOW SEEPAGE PIT DRAINFIELD r EXTN CESSPOOL DRYWELL MANHOLE @ $500 HWY OR 5T WIDENING Ely, OR DISPO'A BSYSTEM ANDON H OUSE $300 Q STATE ENCROACHMENT PERMIT NO C INDUSTRIAL O WASTE APPROVAL a 1 OWNERS I PERMIT S 2 00 CHARGES W AUTHORIZATION rTOTAL FEE CONNECTION CHARGE FEE I- IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE T RA f�SOR T0.CONNECT THE ABOVE DESCRIBED EXISTING DWELLING T I HE PUBLIC SEWER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT_ CONNECTADDITIONAL ADDRESS BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS ..� CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT 1 AM PROPE LV IS �D AND/OR ALTER,REPAIR SEWER OR LICENSED AS REQUIRED OS'I GLE CO Y A D STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I T E�kjE L O NE OF, D INTEND TO IS PLUG AND RESIDE IN, THE ABOV D PBED RES EN IA P O_PERTY ABANDON HOUSE SEWER SIGNATURE a BACKFILL SEPTIC TANKS ❑ OF PERMrrTEE SEEP PIT(S) ❑ CESSPOOLS VALIDATION JACK R. ALLEN �'"��: CK M O SUPERVISING MECHANICAL ENGINEER CASH J "t. f