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Home My Public Portal About9450 LAS TUNAS DR_Sewer__ :EB0B3-62 ; 76A642D APPLICATION FOR PERMIT - � u COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7-RE �q JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING x FOR APPLICANT TO FILL IN LEGAL DESCRIPTION LOT NO. OWNER MAIL BLOCK - TRACT ADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF DISTRICT NO. GROUP MAP PROCESSED B BUILDINGS � \ ' BK PGq Y l CONTRACTOR S � r 4— ®�, iJ ADDRESS 1-39n S7-- CONNECTION (DATA :y ��/ g/Al STATION DEPTH CITY aY L TEL. NO. ` fPr/N STATE Z GLA"SS C'3AP MANHOLE REFERENCE' '�� LOWER LICENSE NO,_ g`j NO. •DESCRIPTION OF WORK FEE _ ;TYP , C NNECTION LENGTH FRO, HOUSE SEWER CONNECTING TO (Y CURB P.L. M.L.TO P.L. PUBLIC SEWER @ $5.00 � CL SEPTIC TANK.SEEPAGE PIT OR P C NO 0 CO.IMP.NO. JOB NO. PITS AND/OR DRAINFIELD @ $10.00 , HOUSE-SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. p/ PRIVATE DISPOSAL SYSTEM @ $3.00 0 CONNECT ADDITIONAL BLDG.OR AFFIDAVIT WAIVElt I EASEMENT RECORD.INSTR.NO. DATE F., WORK TO HOUSE SEWER @ S3.00 u OVERFLOW SEEPAGE PIT.DRAINFIELD LI.) EXTN.,CESSPOOL,DRYWELL.MANHOLE C $5.00 n' ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING Z SEWER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL ' WASTE APPROVAL CHARGES OWNERS PERMIT s z o0 AUTHORIZATION TOTAL FEE a 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 IN CTOR'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 ❑ 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 IAM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE f BACKFILL SEPTIC TANKS ❑ OF PERMITTEE ( ❑ SEEP.PIT(S) ❑ CESSPOOLS CK. 0 M.O. CASH VALIDATION JACK R. ALLEN SUPERVISING MECHANICAL ENGINEER l ttLo 5 3 0 2:fl ,il 1. 2 i 0 0 7.0 0!1-4 N :E80'63-62 " APPLICATION FOR PERMIT 76A642D COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER �1 BUILDING AND SAFETY DIVISION ADDREBUILDINGSS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY >( 604 NEAREST FOR APPLICANT TO FILL IN `ROBS ST. LEGAL DESCRIPTION LOT NO. OWNER Y/ L MAIL BLOCK TRACT ADDRESS NO. OF BIL G5. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF DISTRICT NO. GROUP MAP PROCESSED BY BUILDINGS Y• BK PG CONTRACTOR y/q. SIS 14 •C` ADDRESS (,J ' cs W.i CONNECTION DATA CITY 9�/Y TEL. NO. 3111 ft.)- 1STATE . TION ' "H DEPTH PER GL LICENSE NO,;.I Gf�/.7 •Z' ASS MANHOLE REFERENCE ' / UPS NO. I DESCRIPTION OF WORK FEE TYPE OF C NNE LENGTH F M HOUSE SEWER CONNECTING TO Y. - !� M.L.TO P. �- PUBLIC SEWER @ $5.00 nL� CL SEPTIC TANK,SEEPAGE PIT OR P.C.NO. O CO.IMP.NO. ' JOB NO. PITS AND/OR DRAINFIELD @ 810.00 2 V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ S3.00 C . O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT I WAIVER I EASEMENT RECORD.INSTR.NO. DATE WORK TO HOUSE SEWER @ $3.00 V OVERFLOW SEEPAGE PIT.DRAINFIELD L!J EXTN..CESSPOOL,DRYWELL,MANHOLE @ S5.00 d ALTER.REPAIR OR ABANDON HOUSEHWY.OR ST.WIDENING H SEWER OR DISPOSAL SYSTEM @ S3.00 STATE ENCROACHMENT Z PERMIT NO. INDUSTRI WAS PROVAL OWNERS PERMIT S 2 00 CHARGES 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; INS P TOR'S SI NATURE 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 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 AND SEWERS. CESSPOOL ❑ DRYWELL ❑ 1HEREBY 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, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE L.m/ ys_ _ BACKFILL SEPTIC TANKS ❑ OF PERMITTEE SEEP.PITIS) ❑ CESSPOOLS ❑ ^VALIDATION JACK R. ALLEN cK. M.O. CASH SUPERVISING MECHANICAL ENGINEER LA00 5 3 0 3 y JUL 21 0 0 7.0 0?' IN :E8d*-3-6• APPLICATION FOR PERMIT ��G 2 76A642D ► �r' � COUNTY OF LOS ANGELES SEWER SEWAGE DISP SAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST �Z / JOHN A. LAMBIE, COUNTY ENGINEER .7 c/ /v COLEMAN W. JENKINS. SUPT. OF BUILDING / �[? y�'FOR APPLICANT TO FILL IN . /� LEGAL DESCRIPTION LOT NO. s OWNER MAIL BLOCK TRACT ADDRESS NO. OF BLD GS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY _//`` BK PG �J CONTRACTOR �/ a j✓�� - + V� ADDRESS LE.� j" S7f C4ei}ity ---yyy CONNECTION DATA,,,//��} CITY TEL. NO.3w/ ee_O W ION V DEPTH STATE 1„pA ��e7 C A,SS /'' ® y MANHOLE REFERENCE• ' d UPS LICENSE NO.. C/ („ (p G. NO. DESCRIPTION OF WORK FEE TYPE OF NN C ON LENGTH ROM HOUSE SEWER CONNECTING TO Y. -r--G tet' I �� P.L. M.L. PUBLIC SEWER @ $5.00 SEPTIC TANK.SEEPAGE PIT OR P.C.NO.CO. CO.IMP.NO. JOB NO. PITS AND/OR DRAINFIELD @ $10.00 U HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. w PRIVATE DISPOSAL SYSTEM @ $3.00 y O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT wAIVEF I EASEMENT RECORD. INSTR.NO. bATE WORK TO HOUSE SEWER @ $3.00 u OVERFLOW SEEPAGE PIT.DRAINFIELD Lu a EXTN..CESSPOOL.DRYWELL.MANHOLE @ $5.00 ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING ' SEWER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACHMENT z PERMIT NO- IN O. INDUSTRIAL RWAS PPROVAL CHARGES OWNES PERMIT s AUTHORIZATION TOTAL FEE de CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. RE IMBURSEMENT 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.PITS) 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT 1 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, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE SEEP.PIT(S) ❑ CESSPOOLS ❑ �SJALIDATION JACK R. ALLEN M.O. CASH SUPERVISING MECHANICAL ENGINEER LA,O.5 3 0 4- JUL 21 1 D 2 5.0 0