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Home My Public Portal About9233-9251 LAS TUNAS DR_Sewer__ 16A 642D420 -CE808-10-71 APPLICATI FOR P IT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION TNEAREST ING S A ITY f v FOR APPLICANT TO FILL IN /�� ST. LEGAL DESCRIPTION LOT NO. �� OWNER MAIL BLOCK /TRACT / /y ADDRESS iIV SIZE OF LO !/�'� OD NO. NOWOON L TSI NO. CITU USE OF DISTRICT NO. GROUP MAP ESSED BY BUILDINGS BK P5 � GONTRACTO ADDREESA� CONNECTION DATA AgCITY6� Jy! TEL. NO. STATION DEPTH STATE L�CC.LASS MANHOLE REFERENCE✓✓✓ ��' f/�J / LOWER LICENSE NO:: NO. -DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L M.L.TO P.L. PUBLIC SEWER @ $7.00 P.C.NO. SEPTIC')AK.SEEPAGE PIT OJ R : NPITS AND/OR DRAINFIELD @ 810.00 CO.IMP. NO. OB NO HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. d PRIVATE DISPOSAL SYSTEM @ $3.00 O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT WAIVER EASEM ENT RECORD.INSTR.NO. DATE V WORK TO HOUSE SEWER @ 83.00 OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN..CESSPOOL,DRYWELL. @ 55.00 O A,Tom^ e�.e' c ABANDON HOUSEHWY.OR ST.WIDENING R. 31 F SEWER OL1i6410"L SYSTEM @ 83.00 d STATE ENCROACHMENT U W MANHOLEPERMIT NO. @ $7a .00 N INDUSTRIAL Z WASTE APPROVAL CHARGES OWNERS PERMIT S 3 00 AUTHORIZATION I TOTAL FEE I CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTORTO 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 SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOWLE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT T ABOV S CORRECT AND AGREE TO COMPLY WITH ALL COUNT ORDINAN S AND STATE LAWS REGULATING Cl PLUMBING AND 'ERS. CESSPOOL ❑ DRYWELL I HEREBY CE TIFY THAT I A PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS EOUIRED BY O ANGLE TATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA T� _ 1 THE E - NE OF, AND NTEND TO DISCONNECT PLUG AND / '% RESIDE IN, T E DESCRI ED R I AL PROPERTY. ABANDON HOUSE SEWER %� 1 SIGNATURE /J ❑ OF PERMITTEE C�J BACKFILL SEPTIC TANKS SEEP.PIT(S) ESSPOOLS ❑ VALIDATION CK. M'.0. CASH J 5. 3 5!1'-'APR 16 1 6.0 .0 a98 ;A 642D-CE808 A-7/76 APPLICATION FOR PERMIT -SEWER—SEWAGE DISPOSAL COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN DISTRICT NO I GROUP SK MAP PG PROCESSED BY BUILDING ,�y1 / IJJ�5 �r(� ADDRESS LOCALITY empl m e- n 17y IO CONNECTN DATA a '�" y�L NEAREST � �►[� STATION DEPTH `7 7 :ROSS ST K UPP[R �jry /, / MANHOLE REFERENC fo�� OWNER U 1 1 N (,M TYPE OF CONNECT J LENGTH FROM MAIL . r % l w R. Y CURB P L M L TO P L ADDRESS• I Gl /Y.T1 t /�/� J �� J / JOB NO �ITY�Q L 19,01 /t •TEL NO (j i�/_7 G.� PC NO CO IMP NO LEGAL ,�F-��'-�'= TRUNK PERMIT NO ROAD PERMIT NO DESCRIPTION LOT NO AFFIDAVIT I w11Y[[I [h5[M[MT I RECORD INSTR NO DATE BLOCK TRACT {=J l4J NO OF BLDGS SIZE OF LOT NOW ON LOT HWY OR ST WIDENING 6%-Pq/yLZ C USE OF �+ STATE ENCROACHMENT BUILDINGS PERMIT NO Q N5 r INDUSTRIAL CONTRACTOR I WASTE APPROVAL a ADDRESS CHARGES Q V CONNECTION CHARGE FEE CITY TEL NO O STATE �r`� LIC r REIMBURSEMENT FEE O Y CLASS LICENSE N NO DESCRIPTION OF WORK FEE APPROVALS DATE INSPECTOR'S SIGNATURE W HOUSE SEWER CONNECTING TOy PUBLIC SEWER ?tel. // ^ SEPTIC TANK SEEPAGE PIT OR NEW HOUSE SEWER GJ G` y PITS AND/OR DRAINFIELD @ CONNECT ADDITIONAL HOUSE SEWER CONNECTING TO BUILDING OR WORK PRIVATE DISPOSAL SYSTEM @ SEPTIC TANK SEEP,PIT(S) CONNECT ADDITIONAL BLDG OR AND/OR DRAINFIELD WORK TO HOUSE SEWER OVERFLOW SEEPAGE PIT DRAINFIELD CESSPOOL [IDR-YWELL ❑ EXTN CESSPOOL DRYWELL MANHOLE ALTER REPAIR OR ABANDON HOUSE ALTER REPAIR SEWER OR SEWER OR DISPOSAL SYSTEM @ SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS ❑ SEEP PIT(S) ❑ CESSPOOLS ❑ OWNER"S llssuance Fee s `C� ICATION AUTHORIZATION TOTAL FEE AND STATE THAT ACKNOWLEDGE EADBOVE THAT CORRECT AND AGREE I HAVE READ THIS ATOLCO]ON COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUL I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. PLUMBING AND SEWERS TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN TO THE PUBLIC 5 LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATSIGNED THIS D Y OF 19 CALIFORNIA OR THAT I AM THE LEGAL OWNER , AND I E OWNER OR RESIDE IN THE ABO ESC ED RE ENTI PR OWNERS AGENT SIGNATURE AMORESS OF PERMTTT VALIDATIO CK M 0 CASH