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Home My Public Portal About5915-5917-5923 MUSCATEL AVE_Sewer__ ZD 10-6.3 6A6420 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BIJ!LO,NG L"')RE SS ADORESS may, y JOHN A. LAMBIE, County Engineer x WILLIAM A. JENSEN, Supt of Bu-Iding ITY -OCAL.ITY L 4,NFAREST "ROSS sr. FOR APPLICANT TO FILL IN DESCRIPTION LOT NO. OWNER M AIL BLOCK TRACI Z ADDRESS NO. OFNELDGS. TEL- NO. S7 SIZE OF: 1,10T NOW ID LOT CITY USE OF BUILDINGS DISTRICT NO.1 GROU] MAP PF'OQ'ESSED BY SK PG CONTRACTOR z J /�/ /Z z CONNECTION DAT STATION w DEPTH C IT y TFC Na. L 4 — ❑ STATE MANHOLEREFERENCE - REGISTRATION NO. COUNTY UPPER NO -T-y-p � GES 6t- WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. P,L. M.L.TO P.L. PUBLIC SEWER P.C.NO. -SEPTCCTXllK,SIEFFA,E PIT OR Joe NO. 0 PITS ANr )/ -D OR DRAINF)EL@ $Lc�,20-j CMa N- HOUSFSEWFR CONNECTING TO T?RZT K ROAD PERMIT NO. - PRIVATE DISPOSAL SYSTEM S3 00 - — ------ E BLDGOR CTADO[TiONAL AFFI I MWER I EASEMENT T N DAT NNORK TO HOUSE SEWER @ $3.00 j , IT, > OVERFLOW SEFPACE EXTN-CESSPOOL,ORYWELL-MANHOLE @ 55.00 HWY. OR ST,WIDENING A. LEJRll.�-1-1-1-0�i ABANDON HOUSE &41 SE!WrR @ $3.00 Z ------ - STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL - --' OWNER S PERM_IT 2i 00 C H A RG E S AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR 10 CONNECT THE ABOVE DESCRIBED EXISTING DWELLING r TO THE PUBLIC SF APPROVALS '.ATE SFWER/.R. [INSPECTOR'S SIGNATURE SIGNED S-::-Z�--L0F.-jS_(' 19 0 W N E R OR _1 NEW HOUSE SEWER 4� OWNERS AGENT j- CONNECT AODil ION4L 7 -- i 7, SUiLDING K ADORES, OF?W04 SEPTIC TAINK,SEEP.PiT(S) H ERESY ACKNOWLEDGE THAT I HAVE READ 'THIS APPLICATION AND/OR DRAINFIELD AND �TATE THAT THE ABOVE 1 S CO RRECT AND ACDRE:E TO COMPLY WITH AN,--) SEWERS. CESSPOOL Ej D ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING P 3 RYWELL L AN,--) I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND'.0 R ALTER,REPAIR.SEWER OR ENSEO AS RFQUIREO�B�y�Lll,�S �A�NGILES ��UNTY AN. STATE OF SEWAGE DISPOSAL,SYSTEM r R CALI RNIA OR TH.A�THE GA', OWI 0 AND INTEND T DISCONNECT PL G AND C, BANG..NOOSE ..-ER E OP H z� A RES(D SID T;A I SIGNATURE FEM BACKFILL SEPTIC TANKS [7j R SEEP,F-T(5) E-1 CESSPOOLS Eli ,,VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK.j M.0 CASH =08-� APPLICATION FOR PERMIT .�a4��e.$e 1 COUNTY OF LOS ANGELES SEWER—SEWAGE DiSi 0SAL DEPARTMENT OF COUNTY ENGINEER - BUMDING AND SAFETY DIVISION BUILDING JOAN A. LAMBIE. County Fmginser ADDRESSI CASSATT D. GRIFFIN. Sup't of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN cRDes sT. _ LEGAL DESCRIPTION LOT NO. OWNER BLOCK TRACT MAIL ADDRESS NO.OFBLDGS. SIZE OF LOT NOW ON LOT CITY TEL.NO. USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY CONTRACTOR BKPG _ _ 1 ADDRESS CONNECTION DATA _ CITY TEL.N0. -�— STATION DEPTH [] STATE MANHOLE REFERENCE uPF;R REGISTRATION N0. ❑ COUNTY iunEP. NO, DESCRIPTION OF WORK FEE — - HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3,00 SEPTIC TANK,SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM PITS AND/OR DRAINFIELD @ $9.00 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT; DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @+ $2.00 HOUSE SEWER CONNECTING TO .. ' _ PFC.NO. xW � PRIVATE DISPOSAL.SYSTEM @ $1.00 CO.IMP.NO. JOB NO. CONNECT AD Di T TONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 TRUNK PERMIT N0, ROAD PERMIT NO .s ALTER, REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM ,$f.00 _PERMIT NO. INDUSTRIAL WASTE.APPROVAL CHARGES OwNws PERMIT 5 OO CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DAT IISSPECTOR°S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER, SIGNED THIS SAY OF 19� NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL: OWNERS AGENT BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL 0 DRYWELL El WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SIGNATURE CESSPOOLS 0' OF PERRITTEE.— T �� VAMATION_,F-. I�os'ERT A.WOOL)X.Q. tActt SUPERVISING MEQiANICAL,ENGINEER .66 9 i7-55 APPLICATION FOR PERMIT 1 -66 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMSNE, COUNTY ENGINEER _ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING 'LOCALITY - '- �j FOR APPLICANT TO FILL IN NEAREST CROSS ST: LEGAL .�..—.._—._ e ----- -- ---- OWNER - DESCRIPTION LOT NO —..... fMAI L BLOCK ---- TRACT-' - ------ _ ADDRESS NO.OF BLDGS. CITY _ TEL. NO. SIZE OF LOT NOW ON LOT USE Of -- -" -- -T -- �—G LD BDISTRICT N0. GROUP MAP BUILDINGS '.. .:: �... _ BK PG CONTRACTOR I ADDRESS -- ---- -CONNECTION DATA J _ - . .F CATION -DEPTH CITY r TEL N0. MANHOLE REFERENCE STATE --. . -------- - - - - Lc v 'R `REGISTRATION NO. COUNTY -- - -No. DESCRIPTION OF WORK FEE — - --------- -- __. TYPE OF CCNNEECTI.iN LENGTH. FROM . DOUSE SEWER C014NECTING TO �� .I Y. CURB P.L. M.L.TO P.L. PUDLIC 5EVv EFt --��''--y 3_'o-.,' ' SEPTIC TANK SEEPAGE PIT OR __ PITS AND/OR DRAINFIELD (aI $.3.00 _ OVERFLOW SEEPAGE PIT,DRAINFIELD P C. N0. E N ,CESSPOOL,DRYWEMAN iV. $2.00 I ,.0. IMPN0, _ J03 NO. HOUSE SEWER CONNECTING TO PZ 4A!rE rI POSAL SYSTEM (a $1.00 TRUNK PERMIT NO. ROAD PERMIT NO.==.-z+-•-+r'"""'b'''y" Lam! :.II10NI L g-L GG.n STATE ENCROACHMENT WORK TO HOUSE SEWER (c $-I:00 PERMIT NO. - ALTER,REPAIR OR PP-NDON HOUSE ! ..--- INDUSTRIAL SEWER OR DISPOSAL SYSTEM n' $1.00 WASTE APPROVAL — -. _— _- -- --- -- --._ I-.---- i CHARGE'S _-- -_-__.----------. ).-._..---1_--_-- CONNECTION CHARGE FEE OWNER'S PERMIT —- ------ -- _. ----- -— - -- -- - AUTHORIZATION - T®fiAL FE£ �j �0— REIMBURSEMENT FEE I HAVE AT THIS DATE A. CONTRACT WITH THEHEREIN NAMED CON- APPROVALS DATE i INSPECTOR'S SIGNATURE TRACTOR 10 CONT t Ct I.:E ABOVE DESCRIBED _EXISTING DWELLING TO HE P.;BLi 5 + - NE'Vi HOUSE CEWFR ` SIGNED CONNECT ILDING OR --- —ADDITIONAL.EONOR - WORK OWNERS AtEhfitPT C TANKSf-p-,-—Pt—T-f—B) 4DDREG AND/CR DRAIn I LD I hERtt ; A KUOSLEld£ THAT ! HAVE READ THIS APPLICATION CESSPOOL-] llRYWELL ] AN", -TE THAT k'30VE IS CORRECT AND AGREE TO COMPLY '---- -J-I-----— -- --- - -_- -� sf i;H ALL COUNTY OR3iNANCF.S AND STATE LAWS REGULATINGALTER,REPAIR,SEWER OR � P.LUMSIiG AND SE` ERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY 'THAT i AM PROPERLY REGISTERED ANDIOIt �_- LICENSED .AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF BAND N ON HOUSE'EWERECT CALIFORNIA CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE AV.OVE ABANDON ' DESCRIBED RESIDENTIAL PROPER 1Y„ - DACKFILL SL!,:: nttliS ! I SIGNATURE -- ^. a?. I.CESSPOOLS --'--.. __—_- _._ _' --- ---I- ---- OF PERMITTEE JOHN A. L_AMBIE, COUNTY ENGINEER gALIDA'rION_ ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. M.O.