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Home My Public Portal About9315 PENTLAND ST_Sewer__ DEPARTNffiVT Oir COIIINTY ENGnvEER I SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING4 WILLIAM J FOX, COUNTY ENGINEER ADDRESS q3,15 A-17A6Hd cq FOR APPLICANT TO FILL IN LOCALITY BUILDING /. -{ NEAREST / u / AODRE88 9,4 /iA �� k ��(� S • CROSS ST A _c D^n"-Ab LOCALITY • T� to /11��TL y DISTRICT NO SERIAL NO/_ PERMITNO NEAREST �^ � S A �y 3 5_4i ��d y S CROSS ST �/•d e. nr/ RECEIVED BY R<AOY for lnspeetlon DATEISSUED OWNER 'rT _A MAILp /� NQ�� /Qh UlIEE 21INNE OCCUPANCY MAP ADDRESS / /' L J� BK PO CITY ¢ T4 TEL.NO/� RrT CONTRACTOR ©tJ� { FJ y +•'^ 1 `4 CO IMP NO _Z L) ADDRESS ��6— E k �4 stip 108 NO CITY T ,,,4 V1 CftEEL NO TRUNK PERMIT NO -- d TE REGISTRATION NO COUBTAANTY ROAD PERMIT NO LEGAL e DESCRIPTION LOT NO -/.,Y STATE ENCROACHMENT PERMIT NO BLOCK TRACT /,2.Z p INDUSTRIAL �p i WASTE APPROVAL SIZE OF LOT 6 X S / NOW ON LOTS oZ CHARGES USE OF BUILDINGSQA �/ 6.,Q a•BQ/r CONNECTION CHARGE FEE NO DE9 RIPTION F WORK FEE REIMBU RSEMEN HOUSE SEWER CONNECTING TO PUBLIC SEWER ® F 350 RECEIPT NO ATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 100 WORKTIO HOUSESEWERCONNT ADD,I FUNAL LDC OR 100 , Qn -- EXCEPTION RECORDEA� ALTER OR REPAIR EXISTING NO_ j DATE BY\ SEWER OR DISPOSAL SYSTEM IOL DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 00 CONNECTION DATA SEPTIC TANK SEEPAGE PIT OR PITS ANO/OR GRAINFIELD 200 STATION y.-y4,, O DEPTH („/ CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 200 MANHOLE REFER NC HPPEit_ LOWER TYPE OF CONN ECTI LENGTH FgOM •� OWNERS PERMIT = I 00 ly cuRe P L —M L TO P L L -71 AUTHORIZATION TOTAL FEE S - IHAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTORS SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS DAY OF 19 NEW HOUSE SEWER OWNEROR CONNECTADDDING ORWORKAL 1d'S OWNERS AGENT _ _ _ _ _ _ SEPTIC TANK BEEP PIT(S) ADDRESS AND/OR 08AINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL C] DRYWELL 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS�I SEEP PIT(S)E] CESSPOOLS SIGNATURE J OF PERMITTEE 76A612D 663 1/83