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Home My Public Portal About9084 LAS TUNAS DR_Sewer__ J D CE808-8-88 APPLICATION FOR PERMIT 1 C6808- COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUII.DING AND SAFETY DMSION BUILDING JOHN & LA1031E, Conn Fra ADDRESS County Binder r CAHSAIT D. GHIFFIN, Supt of Building LOCALITY NEAREST, FOR APP TO MIN CROSS sr. LEGAL �/ �/ �/ DESCRIPTION LOT N 7 / S i 7 OWNER BLOCK TRACT V MAIL ADDRESS N0.OF BLDGS. SIZE OF LOT NOW ON LOT 7— CITY TEL NO. USE OF BUILDINGSDISTRICT'NO. G/RO,UP MAP PROCESSED Y CONTRACTOR 'c / D G ADDRESS - CONNECTION DATA CITYTEL.N0. b'�' STATION 3- DEPTH rg �� STATE MANHOLE REFERENCE �� UPPE REGISTRATION NO. COUNTY ER NO. DESCRIPTION OF WORK FEE car HOUSE SEWER CONNECTING TO , -51 PUBLIC SEWER $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC DgNK,SEEPAGE PIT OR Y. CURB .L'. M.L.TO P.L. PITS AND/OR DRAINFIELD $8.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSP000DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TOP.C.N0. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. Z JOB N0. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. - ROAD PERMIT N0. WORK TO HOUSE SEWER @ $1.00 ALTER, REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. INDUSTRIAL ' WASTE APPROVAL CHARGES OWNEWS PMUT $ 2• 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE C)CJ REIMBURSEMENT FEE 1 LS HAVE AT THIS DATE A CONTRACT WITH-THE HEREIN NAMED CON. APPROVADATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING y-- IG , TO THE.PUBLIC SEWER. SIGNED,THIS DAY OF 19_ NEW HOUSE SEWER _ �G OWNER RCONNECT ADDITIONAL OWNERS AG N Zoe BUILDING OR WORK �� SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION " AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR.SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT THE LEGAL OWNER OF THE ABOVE DESCRIBED_RESIDENTOPER'Y. BACKFILL SEPTIC TANKS❑ SEEP.PITS CESSPOOLS SIGNATURE OF PERMITTE ®■ VALIDATION ROBERT A.WOOD Og; d,0. CASH SUPERVISING MECHANICAL.ENGINEER LA- i"'I25 0 5.00 r 78A842D APPLICATION FOR PERMIT - ,C6B08-B-88 7 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1 DEPARTMENT OF COUNTY ENGINSE& - BUMDING AND SAFETY,DMSION BUILDING p�/ JOHN IL LAMBIE, County Engineer ADDRESS p,7' CASSATP D. C:RIFFIN. Supt of Bu3Tding LOCALITY NEAREST - FOR APPLICANT TO Eg4tjN . CROSS ST: LEGAL �/ / DESCRIPTION LOT N0. T n G OWNER BLOCK TRACT gam,' MAIL ,} NO.OF BLDGS. SIZE OF LOT y� NOW ON LOT ANO. USE OF BUILDINGS DISTRIC�. GROUP AP PROCESSED BY Y BK— P6 CONTRACTOR ADDRESS a I' CONNECTION DATA 'CITY aTEL.NO. STATION- DEPTH TATE REGISTRATION N0, �' S�2i �t COUNTY MANHOLE REFERENCE �+ LOWE NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER Q $8.00 .S SEPTIC TANK,SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM' PITS AND/OR DRAINFIELD @ $8.00 Y. T.URB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD I - ,r EXTN.,CESSPOOL,DRYWELL,MANHOLE Q $2.00 HOUSE SEWER CONNECTING TO P.C_NO- PRIVATE DISPOSAL SYSTEM 1.00 CO.IMP.NO. JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT N0. ROAD PERMIT N0. WORK TO HOUSE SEWER $1.00 ALTER,REPAIR OR ABANDONHOUSE ;1.00 STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNF, s PERMIT," $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE C.)� REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS" DATE-, INSEEC-TOR S SI NAIrIIRE TRACTOR;TO CONNECT THE ABOVE-DESCRIBED'EXISTING DWELLING TO THE PUBLIC SEWER. - — SIGNED THIS AY OF —''019_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT _d BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT L HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY CESSPOOL❑ DRYWELL❑ WITH ALL •COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING,AND SEWERS, SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 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 THE LEGAL OWN OF THE ABOVE DESCRIBED RESIDENTIA FSR PERTY. ¢ BACKFILL SEPTIC TANKS❑ SIGNATURE f' SEEP, PIT(S) ❑ CESSPOOLS OF PERMITTE - ` ®F AMATION ROBERT A:WOOD ' o. . ; CASH SUPERVISING MECHANICAL ENGINEER t