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Home My Public Portal About9417 LAS TUNAS DR_Sewer__ cE808 5-65 76A642D APPLICATION FOR PERMIT {� COUNTY of LOS ANGELES SEWER—SEWAGE DISPOSAL �J DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING J JOHN A. LAMBIE, County Engineer ADDREss COLEMAN W. JE.NKINS,Sup't. of Building LOCALITY � /'j? ✓�I_.-� �l NEAREST FOR APPLICANT TO FILL IN CROSS ST. t% LEGAL DESCRIPTION LOT NO. OWNER t e, o 1 BLOCK TRACT V MAIL j 17G� �'Jj Cr /'p�I �✓$ iT,/•' , NO. OF SLOGS. SIZE OF LOT -7 / / K NOW ON LOT CITY C-4'_8�1-eTEL. .NO. 0'7C6 USE OF BUILDINGS � �-Z'J-^Cy G'--ra DISTRICT NO. GROUP MAP PROCESSED BY K PG CONTRACTOR 0 1 `. � • /fj ADDRESS G �7 /fit G �j /e7 o tea• CONNECTION ATA p' ..d, u `y STATION J�/' ' DEPTH CITY . {✓' t3t'G! TEL. NO.K G LICENSE LICENSE A PPER NO. CLASS MANHOLE REFERENCE NO. DESCRIPTION OF WORK FEETYPE OFC CTION mss' LENGTH FROM HOUSE SEWER CONNECTING TO Y. C P.L. M.L.TO P.L. PUBLIC SEWER C $ 5.00 } / gas SEPTIC TANK, SEEPAGE PIT OR ® JOB NO. - O PITS AND/OR DP.C.NO. CL RAINFIELD C $10.00 CO. IMP. NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. U PRIVATE DISPOSAL SYSTEM C $ 3.00 09 CONNECT ADDITIONAL BLDG. OR AFFIDAVIT WAIVER EASEMENT RECORD,INSTR,NO. DATE O WORK TO HOUSE SEWER C' $ 3.00 0 ABANDON HOUSE SEWER C' $ 3.00 �� LLJ V L-6R--SEEp HWY.OR ST.WIDENING G� EXTN.,CES SPOO L, MANHOLE q $ 5.00 STATE ENCROACHMENT -Z PERCOLATION TEST C $ 5.OG PERMIT NO. � j INDUSTRIAL WASTE APPROVAL OWNERCHARGES S PERMIT � 2 .00 AUTHORIZATION TOTAL FEE CONNECTION CHARGE 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 SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PIT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 ❑ DRYWELL ❑ I HEREBY.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER.REPAIR,SEWER OR LICENSEDAS REQUIRED 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 ABOVE DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER h �� SIGNATURE EE BACKFILL SEPTIC TANKS OF PERMITT ❑ SEEP:PIT(S) ❑ CESSPOOLS 0VALIDATION CK. W O. CASH 5 1 1' _O QCT 4 1 D 5.Q O- cQ �G� DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING �-- ADDRESS 7�� yu /z, w a FOR APPLICANT O LL IN LO ALITY �tb_ (:f-, 14y BUILDNG NEAREST ADDREISS CROSS ST. �L � G9,3r�)ra1 LOCA TY DISTRICT NO. SERIAL NO. PERMIT NO. c NEAREST sS , A 7�— (O 7✓ J CROSS SL RECEIVED BY Ready for Inspection DATE ISSUED OWNER ✓ a/[Yv 7-p ��.; MAIL CUSEZONE OCCUPANCY MAP ADORES I � I BK PG CITY - TEL.NO. CA-TRA / CO.IMP.NO. ADDRESS.., J CITE E 14NO T ATE U REGISTRATION NO. COUNTY ROAD PERMIT NO.j'e9 C 9 T//T LEGAL STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO. BLOCK TRACT ��/ INDUSTRIAL Liu I WASTE APPROVAL BY DATE-2 'S� SIZE OP LOT �(� N0.OF BLDGS. � CHAR ES NOW ON LOT USE OF BUILDINGS CONNECTION CHARGE F NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO: - REIMBURSEMENT FEE r PUBLICSEWER $ 3.50 O RECEIPT NO. I DATE T IBY HOUSE SEWER'CONNECTING TO PRIVATEDISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL-BLDG.OR EXC PTION CORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING- N0. DAT I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 I CONNECTION•DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD--•.- 2.00 STATION 2 DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY2.00 1,9-6 � L r ,, / MANHOLE REFERENCE wI a Ak UPPER TYPE OF CONNECT)ON LENGTH FROM OWNERS PERMIT f 1 0o x..___._ CURB J� R:�--•M.L.TO P.L. AUTHORIZATION TOTAL FEEHAVE ED CONTRACTOIR TO CONNECT THEA OVE DE CRI13EDS DATE CONTRACTED WITH THE IEXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER' H > NEW OUSE SEWER SIGNED THIS../s�--------DAY OF.- ----•--......•..191 � CONNECT ADDITIONAL OWNER OR /j BUILDING OR WORK OWNERS AG T- L - -.... _... . _ ... ADDRESS.L. ......�'.. .... AND/OR DRASEPTIC INFIELD IT(8) 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLI- CESSPOOL 0 DRYWELL El CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED ASoREQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE �DESCRIBED RESIDENTIA PROPERTY. BACKFILL'SEPTIC TANKS SIGNATURE /e�jjC SEEP.PIT(S) CESSPOOLS OF PERMITTEE__�j(tV.0-• ( 76AG42D 663 1/53 76606 5-65 76A 642D, APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS 7 COLEMAN W. JENKINS,Sup't. of Building r1 LOCALITY NEAREST FOR APPLICANT TO FILL IN `ROSS ST. d V LEGAL DESCRIPTION LOT NO. OWNER //� MAIL BLOCK TRACT 6ADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF a4. BUILDINGS DISTRICT NO. GROUP MAP PR CESSE 'BY d ggBK PG CONTRA // (, / 9 lJ Y J ADDRESS] S^ CO�fNNECTION DATA CITY TEL. NO.A( f3 STATION -2 DEPTH �. LICENSEpl 3 - CLA SSSE 5 N0. YJ Ou' J / PPER oL J MANHOLE REFERENCE / 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 C' $ 5.00 P.C.NO. SEPTIC TANK, SEEPAGE PIT OR PNOJOB NO. a PITS AND/OR DRAINFIELD C CO.. . .$10.00 O HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. (;,) PRIVATE DISPOSAL SYSTEM C $ 3.00 CONNECTADDITIONAL BLDG. OR AFFIDAVIT wRIVER EKSEMENT RECORDINSTRNO. DATE IX WORK TO HOUSE SEWER C . .$ 3.00 O REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM C $ 3.00 HWY. OR ST.WIDENING a EXTN.,CES SPOOL, MANHOLE C $ 5.00 STATE ENCROACHMENT N I PERCOLATION TEST C $ 5,00 PERMIT NO. CHARGES OWNERS I PE IT s 2 00 AUTHORIZATION TOTAL FEE CONNECTION CHARGE 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 SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 ❑ 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 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, TH ABOVE DES C IBED RESIDE I L PROPERTY. ABANDON HOUSE SEWER �� BACKFILL SEPTIC TANKS SIGNATURE TEl PERM ❑ SEEP,PIS) CESSPOOLS OF ITTE � //��_''-__�\�\\\�\\\��}'VALIDATION / M.O. CASH , 1L&5 3;.:2 9- OCT 17 1 0 D 5..0 0^'