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Home My Public Portal About9437 LAS TUNAS DR_Sewer__ 2/70 76A 642D i APPLICATION FOR PERMIT 76A 6 I I COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL IILJI' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BU ILDIN JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. (PRINT OR TYPE ONLY) LEGAL DESCRIPTION LOT NO. OWNER _ MAIL BLOCK TRACT ADD 55 e act .. NO. OF BLDGS. SIZE OF LO NOW ON L - CITY TEL. NO. USE OF BUILDINGS DISTRICT NO. GROUP f.LASS MAP PROCESSED BY SK (` ' EONTRACTO . 0 L_♦ �1 , ADDR skE) CONNECTION DATA STATION DEPTH CITY :7VV 6 TEL. NO. STATE0 q&tLIC )' UPPER LICENSE NO.: CLASS MANHOLE REFERENCE /Wl! NO. 1 DESCR TION OF"WORK FEE TYPE OF CONNECTION LENGTH FR M HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER @ $5.00 P.C.NO. SEPTIC TANK.SEEPAGE PIT OR JOB NO. PITS AND/OR DRAINFIELD @ $10.00 CO.IMP. NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 1" PRIVATE DISPOSAL SYSTEM @ S3.00 CL CONNECT ADDITIONAL BLDG.OR AFFIDAVIT WAIVER I-EASEMENT RECORD.INSTR.NO. DATE O WORK TO HOUSE SEWER @ $3.00 U OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN.,CESSPOOL.DRYWELL,MANHOLE @ $5.00 HWY. OR ST.WIDENING O ALTER,REPAIR OR ABANDON HOUSE J) 0 SEWER OR DISPOSAL SYSTEM @ $3.00_-13— STATE ENCROACHMENT L) PERMIT NO. W INDUSTRIAL W N WASTE APPROVAL Z OWNERS PERMIT s 00 v CHARGES AUTHORIZATIONJ TOTAL FEE CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CO REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING G TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY O 19_ OWNER ORNEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ESS 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING A SEWERS. CESSPOOL ❑ DRYWELL ❑ 1 HEREBY RTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER.REPAIR.SEWER OR LICENSED AS EOUIRED BY LOSt ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA O THAT I AM THE LEGAL OWNER AND INTEND TO DISCONNECT PLUG AND RESIDE IN, T ABOVE DESCRIBED RESIDENTIAL PROPE ABANDON HOUSE SEWER SIGNATURE \ OF PERMTTTBACKFILL SEPTIC TANKS ClE ❑ SEEP.-PIT(S) ❑ CESSPOOLS VALIDATION JACK R. ALLEN M.O. CASH SUPERVISING MECHANICAL ENGINEER 76A 642D7CE808 -10-71 APPLICATION FOR PERMIT ,. COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING .y / �l ADDRESS V! OjC. �J LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS /V CROSS ST. LEGAL fS' DESCRIPTION LOT NO. OWNER J / MAIL BLOCK TRACT ADDRESS � NO. OF BLDG9. ' SIZE OF LOT NOW ON LOT CITY USE OF BUILDINGS DISTRICT NO.1 GROUP I MAP PROCESSED BY BK PS CONTRACTOR ADDRESS (CCONNECTION DATA CIT h TEL. NO. 41 / STATION 54U70 DEPTH STATE LIC UPPER LICENSE NO:. CLASS l MANHOLE REFERENCE a C R NO. 1 DESCRIPTION OF WORR FEE TYPE OF CONNECTION"P:L.J LENGTH FROM -71 HOUSE SEWER CONNECTING TO Y. CURB M.L.TO P.L. PUBLIC SEWER @ $7.00 SEPTIC TANK.SEEPAGE PIT OR P.C.NO. JOB NO. NO IMP. . PITS AND/OR DRAINFIELD C4 510.00 CO. } HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 1 PRIVATE DISPOSAL SYSTEM @ S3.00 O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT I WAIVER I-EASEMENT RECORD.INSTR. NO. DATE V WORK TO HOUSE SEWER @ $3.00 _ OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN..CESSPOOL.DRYWELL.' @ $5.00 - O ALTER,REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING SEWER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACHMENT W MANHOLE @ $7.00 PERMIT NO. - 4. N INDUSTRIAL Z WASTE APPROVAL x CHARGES OWNERS PERMIT S 3 OO CZNN IOECI�N.CHAR—GE.FEE AA� AUTHORIZATION TOTAL FEE ICOHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED N- RE PM BURS EM ENTF E E TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING P TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY O 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ` BUILDING OR WORK ADDRESS SEPTIC TANK,NSEE PIT(S) H {[9rJ I HEREBY ACKNOWLEDGE HAT 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 CESSPOOL ❑ DRYW ELL ❑ J PLUMBING AND SEWERS. I 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;t��F. AND INTEND TO DISCONNECT PLUGAND �k / RESIDE IN, THE A D PROPERTY. ABANDON HOUSE SEWER �1J' SIGNATURE OF PERMITTEBACKFILL SEPTIC TANKS ❑ E • SEEP.PIT(S) ❑ ESSPOOLS Cl bX ALIDATION CK. M,.O. CASH 3 09 17 1Y 7 1 0 D 6.0 0- °' .pp��® ® pp� pq� ®�pr� a®�g�e T 1 .... 76A642D A■ ■ L[CAT.I®N : 7O'■ Y Y is�.eY � Y +1 , 5&E-663 12.54 Pte! DIVISION OF BUILDING AND SAFETY •S EW E RAS EWAG E DISPOSAL g: Department of County Engineer County of Los Angeles BUILDING e? WM. J. FOX, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUP'T OF BUILDING LOCALITY /� f FOR APPLICANT TO FILL IN CROSS sr. Gk LEGAL 1 DESCRIPTION LOT NO. WNER ae BLOC TRACT TRACT _ MAIL ADDRESS SIZE'OF LOT. N0. OF BLDGS. /, J O 0 LOT N0. USE OF e r BUILDINGS 4.-4V \ DISTRICT N0. _ GROUP MAP CONTRACTOR yG/ PG ` - ADDRESS ,L CONNECTION DATA CITY TEL. N0. / STATION - 5, DEPTH A � /��}' STATE _ -� �% MANHOLE'REFERENCE REGISTRATION NO.- / oLJ COUNTY �✓� ✓ �•�{i� UPPER SER ! - TYPE OF-CONNEC ION LENGTH FROM NO, DESCRIPTION OF WORK FEE Y� CURB P.L. M.L.TO P.L. •6 SEWERHOUSE CONNECTING TO iPUBL CSEWER C $ 3,50 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 F '.{ONNECT ADDITIONAL BLDG. OR CO. IMP. NO. f .� / JOB. NO. _ .WORK TO HOUSE SEWER 1.00 "ALTER OR REPAIR EXISTING -- C � ;•SEWER OR DISPOSAL SYSTEM 1.00 TRUNK PERMIT N0. ROAD PERMIT N0. ?;DISCONNECT AND ABANDON SEWER .'AND/OR DISPOSAL SYSTEM 1.00 STATE ENCROACHMENT 'SEPTIC TANK, SEEPAGE PIT OR PERMIT NO. PITS AND/OR DRAINFIELD 2.00 INDUSTRIAL CESSPOOL- DRYWELL WASTE APPROVAL S P.ECIAL CONDITIONS ONLY 2.00 CHARGES PERMIT CONNECTION CHARGE FEE bVR4ER'S $ 1 00 AUTHORIZATION TOTAL FEE j J REIMBURSEMENT FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN-NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INS�PECTOR•S SIGNATURE TO THE PUBLIC SEWER t„ y+ NEW HOUSE SEWER - �QI 0 ^tsa SIGNED THISDAY'OF 19� OWNER OR CONNECT ADDITIONAL - OWNERS E T BUILDING OR WORK W&ASEPTIC TANK. SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLI TION CESSPOOL E3DRYWELL❑ ' AND STATE THAT-THE ABOVE IS CORRECT AND AGREE - O'COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTE D AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY' D STATE OF ABANDON HOUSE SEWER - CALIFORNIA OR THAT,,- I A -THE LEG WN OF THE AS VE DESCRIBED RES !4 OPERTY. / BACKFILL SEPTIC TANKS❑ ,,.� .SEEP.PITS) ElCESSPOOLSU SIGNATURE��- OF P.ERMITT WILLIAM J. FOX, Co Y ENGINEER VALIDATION 4.50 BY •- •BY / DEPUTY / fDEPUTY "f ••BTBY -® DEPUTY - DEPUTY �•