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Home My Public Portal About9301 PENTLAND ST_Sewer__ DEPAUrMENT OF COUNTYENG:nfum r SEWER=SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY 4 PERMIT APPLICATION COUNTY OF LOS ANGELES o WILLIAM J. FOX, COUNTY ENGINEER ADDR'E'NO BUI L SS 1 r FgOR2APPLIC NTTO FILL I LOCALITY ADDRESS /,JO I I� NEAREST r {ate CROSSST G '/ LOCALITYyy�� DISTRICT NO SERIAL NO PERMIT NO NEARESTCROSS ST (/1.�/fj�"�` Y mss— /89/")--3 7 S RECEIVED BY Ready tar lnaaecthaA DATE ISSUED OWNER ��(� � A/ / MAIL ADDRESS �`�/ w/� USE ZONE' OCCUPANCY MAP BK PB CITY _ TEL NO a,r Z wl 7 6 3 CONTRACTOR .L CO IMP NO /44/4 ADDRESS JOB NO CITY EL NO TRUN PERMIT NO V-V'0 rrOTATE REGISTRATION NO ❑ COUNTY ROAD P MIT NO LEGAL DESCRIPTION LOT NO ' I STATE EN OACHMENT / PERMIT NO BLOCK TRACT �,]„ �. / V INDUSTRIAL WASTE APPRO L SIZE OF LOT L� X /� NOW OX LONo BF TS CHARG USE OF BUILDINGS COMNECTII CHAp6 FEE NO DESCRIPTIO OF WORK FEE H0USC SEWER CONNECTING TO REIN BU RBEM ENT FEE PUBLICSEWER 0 $ 350 RECEIPT NO DATE BY HOUSES E%WERCONNECTING TO PRIVATE DISPOSAL SYSTEM 1 DO I WORKETO HOUSECT IONAL SEWER L00 OR 1 00 OG I E% EP ON RECORDED ALTERORREPAIR EXISTING NO DATE BY SEWER OR DISPOSAL SYSTEM IOD DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 100 CONNECTOV DATA SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD 200 STATION DEPTH CESSPOOL--0RYWELL SPECIAL CONDITIONS ONLY 2 DO MANHOLE REFE NCE UPPER LOWER TVP FCONNECTIOM L NGTH FROM OWNERS PERMIT S I DO r cups P L L TOP L AUTHORIZATION TOTAL FEE Z a_ I I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED! CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS I/AD''pp Y OF 19 _ ' NEW HOUSE SEWER OWNER OR ti S V � Ar4- BUILDING OR WORK ECT AL OWNERS AGENT - - I ADDRESS 3y 1_ SEPTICTANK SEEP PIT(8) AND/OR GRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-I CESSPOOL Q DRYWELL E) 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 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS SIGNATURE SEEP PIT(S)E] CESSPOOLS \ OF PERMITTEE ,\ 76A642D 663 1/53 , /Q a 76A 0+za - APPLICATION FOR PERMIT >eA COUNTY OF LOS ANGELES SEWER—SEWAGE DISPO AL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS _ ..� COLEMAN IN JENKINS SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN <Ro{S ST LwOAL DESCRIPTION LOTNO OWNER / ~ MAIL O BLOCK TRACT ADR{ NO OF BLDG" "IZL OF LOT NOW O NLOT &eCITY (/ L NO USEor / Q / .DISTRICT N6 GROUP MAP PROC LO BY CONTRACTOR G f51 �j ADDRESS CONNECTION DATA CITY LT!L HO1�6 STATION DEPTH LTCQNSE M L' L.J CL- MANX REFf RENCE UPPER LOWER NO DC CRIPTION OF WORK FEE TY FCONNCCTION LEN FROM HOUSE SEWER CONNECTING TO Y CUR" P L M O P FL PU"LIC SEWER O {S 00 EPTICTANK "CBPAGEPIT OR PP O ITS ANO/OR DRAIHFICID 0 {/000 SCO IMP NO ONO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM O {300 THUNK PERMIT NO ROAD PERMIT NO O CONNECT ADDITIONAL"LOO OR AFFIDAVIT Alv �A�t R• RECO INBTR NO DATE WORK TO HOUSE SEWER O S3 GO U OVERFLOW SEEPAGE PIT DRAINFIELO QMTN CESSPOOL DRYWELL MANHOLE Q {S OO A�R ABANDON HOUSE XWV ORGY WIDE 6 V BEWER " ^M 8 $300 W STATE ENCROAqAMENT d PERMIT NO Z INDUSTRIAL / WASTE APPROVAL OWNER'S PERMIT CHARGES CONNECTION CHARGE FEC AUTHORIZATION TOTAL Fee I HAVE AT THIS DATE A CONTRACT WITH TyQ HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO-CONNECT THE ABOVE DEECR $D E%I N N TO THE PUBLIC SEW e / APPROVALS DATE INSPECTOR S SIGNATURE SIGNED THIS /DAY OF 16 OWNER OR NEW HOUSE SEWER OWNERS AOCNT N CCT ADDITIONAL ADDRE"S UILDING OR WORK I HEREBY .NOW EOG THAT HAVE PAD THIS APPL AYION .D/ORPC ANA SCEP PIT(e) AND/OR DAAINPIELD AND STATE THAT THE ABOVE 18 LAND AND ACRE' TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL Cl I HEREBY CERTIFY TH I AM PROPERLY REGISTER[ AND/OR ALTER REPAIR SEWER OR LICENSED AS " O.LA CD LOS ANGIEfi COUNTY AN STATE OF S SWAG E DISPOSAL SYSTEM CALIFOpN4 OR TMA THE LEGAL OWNER OF AN /INTEND TO DISCONNECT PLUG ANO RESIDE IH THE A VE SCRIBE B ENTIAL PRO LRTY / / ABANDON HOUSESWER SIGNATURE OF PCRMRTEE SAGE ILLSEPTIC TANKS ❑ BEEP PIT ISI ❑ CESSPOOLS VALIDATION JACK R ALLEN CK M G CASH SUPERVISING MECHANICAL ENGINEER L& 0 6 6 9 aiAN22 1 0 D 6.00M 76 eazD -cEeoe-lorry [. APPLIC TION FOR PE MI --�3 VY IK v� COUNTY OF LOS ANGELES SE R— EWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILD IN [ .DOREes LOCALITY _ FOR APPLICANT TO FILL IN CAosissl [ L aAL / De3cRl PrloN tot no owrveR MAIL BLOCK TRACT � O AOD 3 IL / Cf I� SIZE OF LOT NOW ON LOT L CITY TEL NO ` I _9 USE OF BUILDINGS DISTRICTNO GROUP MAP C ED eT SK P5 CONTRACT Q O I ADDR V CONNECTION DATA TCL NO O STATION DEPTH STATE / �T3 LICENSE NO A/' rte' CLA.. MANHOLE REFERENCE •[U _TA URRCR J 44JJ - NO DESCRIPTION EC WORK I[E TYPE 01 CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURE PL ML TOP L PUBLIC SEWER 0 fT 00 SEPTIC FANK SEEPAGE PIT OR PC NO PITS AND/OR DRAINFIELD 0 LIBOB CO IMP NO JOB NO HOUSE SEWER CONNECTING TO THUNK PERMIT NO ROAD PERMIT NO y PRIVATE DISPOSAL SYSTEM 0 5300 O CONNECT ADDI TION.L BLDG OR AIFIDA VIT m [.[[KUT RECORD INBTR NO DATE WORK TO HOUSE SEWER 0 5300 O V OVERFLOW SEEPAGE PIT DRAIXTIELD BE EATH CESSPOOL DRYWELL 0 3300 MWY OR 6T WIDENING O ALTER REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM 0 $300 STATE ENCROACHMENT W MINHOLE 0 $7 00 PERMIT No 0. INOU9TRIAL N OWNER'S WASTE APPROVAL Z_ O��ETYNER'S PERMIT S 3 00 CHARGED AUTHORIZATION TOTAL. FEE. CONNECTION CHARGE PEE 1 HAVE AT THIS DATE A CONTRACT WITH THE XEREIN NAMED COM REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING OWE111N0 TO THE PUBLIC SEWER APPROVALS =CTO!o SIGNATURE SIGNED THIS DAY OF +9_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK SEPTIC TANK SCEP PITISI HEREBY ACKNOWLEDGE THAT HAVE READ TNI8 APPLICATION AND�OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGRCE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Cl PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL I HEREBY CERTIFY 1 AM PROPERLY RCGI6TERED AND/OR ALTER REPAIR SEWER OR LIC EMBED A8 REO Y LOS ANOL[ COUNTY AND STATE OF SEW...DISPOSAL SYSTEM CALIFORNIA OR T T I M T LEGAL NLR OF AND IXTEND TO DISCONNECT PLUG AND RESIDE IN THE OES 1 R�TIAL PROPERTY ABANDON HOUSE BEWER SIGNATURE BACKFILL SEPTIC T.OT PER TC SECF PIT I81 ❑ CLB{P O VAMATION CK 0 cAeK i 0 6 3 0 0 6.00-