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Home My Public Portal About9202 LAS TUNAS DR_Sewer__ CE808 .62 76AAB42D APPLICATION FOR PER IT 842D COUNTY OF LOS ANGELES I SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS WILLIAM A. JENSEN, Sup't of Bu>ldrng LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL DESCRIPTION LOT NO OWNER MAIL BLOCK TRACT ADDR SS NO OF BLDG SIZE OF LOT NOW ON LOTI TEL NO USE OF BUILDINGS DISTRICT NO GROUPMAP ROCE BY sod' PG CONTRALTO Z_ ADDRESS CONNECTION DATA CITY TEL STATION DEPTH NO ❑ STATE MANHOLE REFERENCE UPPER REGISTRATION NO COUNTY LOWER NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L ML TO P L O UBLIC SEWER C $5 00V 5 TIC TANK,SEEPAGE PIT OR / J C NO PIT ND�OR OR INFIELD $1000 CO IMP NO OB NO HOUSE WER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO O PRIVATE D OSAL SYSTEM $3 CONNECT ADDI NAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE W WORK TO HOUSE ER @ 3 00 LLLLLLL1aJJJJ OVERFLOW SEEPAGE 0%,DRAINFIELD to EXTN CESSPOOL DRYWEL MANHOL $500 HWY OR ST WIDENING Z ALTER REPAIR OR ABANDON OUS / SEWER OR DISPOSAL SYSTEM $3 00 STATE ENCROACHMENT _ PERMIT NO INDUSTRIAL =7��NE+ WASTE APPROVAL /�\ OWNER'S R AUTHORIZATION MIT $ 2 OO CONNECTION CHARGE FEQ/J A OG. TOTAL FEE ` R I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING �i TO THE PUBLIC SEWER APPROVALS TE INSPECTOR 5 SIG URE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SEPTIC TANK,SEEP,PIT(S) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING ClPLUMBING AND SEWERS CESSPOOL ❑ DRYWELL 1 HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REOUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND RESIDE IN THE A E ED RES "ROP.ERDESC BIDENTIgBANDON HOUSE SEWER SIGNATURE OF PERMITTEE - BACKFILL SEPTIC TANKS ❑ ❑ SEEP PIT(S) ❑ CESSPOOLS LIDATION ROBERT A. WOOD M o CASH SUPERVISING MECHANICAL ENGINEER L�X1,0 7 8 4 1 2 APP, 17 8 1 D 383.164 I � °'e2 76A642D APPLICATION FOR PERMIT 8A842 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineor ADDRESS WILLIAM A. JENSEN, Sup't of Building �- LOCALITY NEAREST n FOR APPLICANT TO FILL IN CRD55 5T LEGAL —DE SCRIPTION LOT NO OWNER MAIL ADDRESS �� BLOCK TRACT NO OF SLOGS SIZE OF LOT / NOW ON LOT CITY TEL NO USE OF DISTRICT NO GROUP MAP PROCESSED BY BUILDINGSBK PG CONTRACTOR\, L ,ADDRESS L o ,2 CONNECTION DATA STATION DEPTH CITY L NO }�{I STATE MANHOLE REFERENCE UPPER REGISTRATION NO L� COUNTY LOWER NO DESCRIPTION OF WORK FEE TYPE O C ECTION LENGTH FROM d HOUSE SEWER CONNECTING TO Y C RB P M T L O PUBLIC SEWER @ $5 00 Na V SEPTIC TANK,SEEPAGE PIT OR tv JOB NO PITS AND/OR DRAINFIELD @ $1000 CO IMP NO HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO O PRIVATE DISPOSAL SYSTEM $3 00 F CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER E1SEMENT RECORD INSTR NO DATE W WORK TO HOUSE SEWER Q $300 d OVERFLOW SEEPAGE PIT DRAINFIELD 0) EXTN CESSPOOL,DRYWELL MANHOLE @ $5 00 Z .J !'F'.. '_"' ..ABANDON HOUSE HWY OR ST WIDENING SEWER O`R`6F6FOSdMrSY94'2M $3 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPR L CHARGES OWNERS PERMIT $ 2 00 AUTHORIZATION TOTAL FEE 611 -0 CONNECTION CHARGE FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF _19- OWNER 9_OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK SEEP,PIT(S) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD WITH ALL COUNTY ORDINANCES AND ST, LAWS REGULATING PLUMBING AND SEWERS I CESSPOOL ❑ DRYWELL ❑ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM I J CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND .� RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL'PROPERTY ABANDON HOUSE SEWER SIGNATURE �. jr: L `� OF PERMITTEE � ✓ BACKFILL SEPTIC TANKS ❑ SEEP PIT(S) ❑ CESSPOOLS ❑ �- d, VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK M O CASH �f o5 8 0 S- FEB21 1 C, D 5.00— C E808 10-63 7'6A642D APr IP LICATION FOR P,E R"MIT COUNTY OF LOS ANGELES SEWERSEWAGE DISPOSAL DEPARTMENT OF, e6VSTY;,'ENGINEER. f- BUILDING AND SAFETY DIVISIONBuILDITNG JOHN A. L'AMBIE; County Engineer ADDRESS WILLIAM A. JENSEN. Sup't of'Buildmg LOCALITY ,•~ ,- - � � NEAREST FOR•'APPLICANT%TO FILL IN GRO55 ST r LEGAL DESCRIPTION LOT NO OWNER MAIL BLOCK TRACT - ADD E �J�, NO OF LOGS SIZE OF LOTv0 Q NOW ON LOT CITY TEL NO USE OF - DISTRICT NO GROUP MA F/ PROCES BUILDINGS_ SED BY BK0 Ig IPG CO NT RA CTO } •- h r, J,`� c1 ADDRESS ` CONNECTION DATA � 9233 ry l CITY TELA STATION .Y DEPTH 1 //� ❑ STATE MANHOLE REFERENCE �L, REGISTRATION NO -{p El COUNTY (y LOWER NO DESCRIPTION OF WORK FEE PE OF N C N LENGTH OM HOUSE SEWER CONNECTING TO Y ;P M L TO L PUBLIC SEWER @ $5 00 SEPTIC TANK SEEPAGE PIT OR PC NO O PITS AND/OR DRAINFIELD $10 00 CO IMP NO JOB NO V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO / O L` ROAD PERMIT NO d[ PRIVATE DISPOSAL SYSTEM $300 r 0 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT_ RECORD INSTR NO DATE WORK TO HOUSE SEWER @ S300 - v I OVERFLOW SEEPAGE PIT,DRAINFIELD l!J EX-TN CESSPOOL DRYWELL MANHOLE @ SS 00 91- ALTER ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING N i Z SEWER OR of SYSTEM @ S3 00 STATE ENCROACHMENT PERMIT NO ' INDUSTRIAL 1 WASTE APPROVAL CHARGES -OWNER'S PERMIT s 2 00 _ CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED"CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR S SIGNATU RE� SIGNED THIS DAY OF 19_ I j OWNER OR NEW HOUSE SEWER ' OWNERS AGENT -- CONNECT ADDITIONAL �R V ADDRESS BUILDING OR WORK ' 1 f I HER ACKN LEDGEWraHAT-II HAVEI EAD4HIS APPLICATION" SEPTIC TANK SEEL (S) E AND 5 TE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY :`AND�OR DRAINFIELD ' WITH ALL COUNTY ORDIINANC ES AND ,STATE LAWS REGULATING ❑ PLUMBING AND'SEWERS,^ "� _ "`!I" CESSPOOL"❑ DRYWELL I HEREBY CERT., HAT I AM PRO.ERLYU;REG' RED AND/ORr ALTER REPAIR SEWER OR ED i LICE NSA5 rR ll' ED_ Y'LOS,T,AN 'L Sri U,N 'S NO STATE ,OF SEWAGE DISPOSAL.SYSTEM CALIFORNIA OR T' I A T GAL WAN ER'. F ND INTEND TO ?DISCONNECT PLUG AND RESIDE I , THE OV SCRIBE RES, NTI L ROPERTY ABANDON HOUSE SEWER 1 : 5 - - SIG NATURE ��,.., _'- BAC KFILLSEPTIC TANKS ❑ ` OF PERMITTEE I r aT SEEP PIT(S) ❑ CESSPOOLS ❑ I •;� . mATION ROBERT A. WOOD CK CASH SUPERVISING MECHANICAL ENGINEER M O L%'o 7 8 4 6 1-105 APR 2p1 o o 7.00N v A��