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Home My Public Portal About6018 MUSCATEL AVE_Sewer__ 78A642D 3&>w.68311-55 APPLICATION FOR PERMIT 1 - DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING d JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS PD CASSATT D. GRIFFIN, SUP'r OF BUILDING ' LOCALITY FOR APPLICANT TO FILL IN CROSS s. LEGAL DESCRtPTFON LOTS; ' " ' d3 P a OWNER ! Y ' MAIL ' BLOCK _TRACT ' �-- ADDRES5_ NO.OF dLDGS' SIZE OF LRT NOW ON LOT CITY TEL. N0. fie ey USE OF d BUILDINGS ('. a6:.c-.a.. = s DfSTRICT N0. GROUP - BK MAP Gk. .� 111 CONTRACTOR a g��rn�7x 1 CONNECTION DATA ADDRESS ,e[ _.�.- -, ..K.� (c:" STAT-IO-N CITY TEL. NO. -"-- -- DEPTH- • w y - -Ge- ?E MANHOLE REFERENCE - ` STATE - ---- ' --=- - -�`--`=✓ YLOWER". REGISTRATION NO. � COUNTY - - -NO,_I__ DESCRIPTION OF VVtRK FF �� - — -_-�-- - --- a 1 HOUSE SEWER CONNECTING TO —TYPE OF T.fON _ LENGTH FROM '�" .�- Y. CURB �" P,L. M.L. TO P.L. 4 --PUBLIC SEWER --- - ----@ $3..50 -_ -- --- ' - _ --------•� -- I SEPTIC.TANK SEEPAGE PIT OR _ ITS AND/OR.DRAINFILLD_ Ca) $3,00 __ -- ------�-- -- OVERFLOW SEEPAGE PIT, DRAIYFIELD - `a p7 P. C, NO. EYTN ,CESSPOOL,DR_YWELL,MANHOLE GL $2:00 CO.IMP.NO, _JOB NO. HOUSE SEWER CONNECTING TO--� YI ---- -- PR VATE DISPOSAL SYSTEM (T-1 $1.00 ( TRUNK PERMIT NO. ROAD PERMIT NO CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT WORK TO HOUSE SEVER N $I,UO �_- PERMIT NC. I ALTER,REPAIR.ORABANDON.HOUSE ^-- .-.INDUSTRIA.L-._-------- -.. -------- --- -------- t EWEROR DISPOSAL SYSTEM (c� $}_b0 �-`_ WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT 11. 00 —— --------- — Ai7THORIZATION TOTAL FEE J0 REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THEHEREIN NAMED CON- APPROVALS I DATA: IINSPECT1.rt'SSIGNITURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING j TO THE.PUBLIC.SEWER. NEW HOUSE SEWER SIGNED THIS- _DAY OF 19 -- ---__`- --------G.-___._ CONNECT ADDITIONAL I � OWNER ORr -_-_-' OWNERS AG NTT _ y y. n _ SEPTIC TANK,SEEP PIS) ADDRESS r. AND/OR DRAINFYELD - I I 'HEREBY .ACKNOWLEDGE TA7 t HAVE READ THIS APPLICATION CESa^POOL[] TIRYWELL❑ AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR I PLUMBING AND SEWERS..: SEWAGE DISPOSAL SYSTEM I HERFBY CERTIFY THAT I AM PROPERLY REGISTERED AND/QR '-- ----i .---'----- ------ LICENSED AS REGUIRED BY LOS ANGELES. COUNTY TATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT I t 7HE LEGALM NE THE ABO,yE ASA-NOON HOUSE SEWER DESCRIBED RESID€NTI �P'R0 ERTY. BACKFILL 5 ' SIGNATURE CESSPOOLS a OF PEfiM1` TT JOHN A. L:AMBIE, C© 'ENGINEERLIDATIO-N ;^. ROBERT A.WOOD, CHIEF PL_EG. INSPECTOR CK. Y.0.