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Home My Public Portal About9447 PENTLAND ST_Sewer__ 78A,6420 - CESO8 - 9/73 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL— DEPARTMENT OF COUNTY ENG;IN ER BUILDING AND SAFETY DIVIBUILDING ADDRESS 9447 Pentland LOCALITY Tem le Cit H[wfl[DT FOR APPLICANT TO FILL 7 LEGAL =KORO DT DESCRIPTION LOT No OWNER Robert Griffin MAIL BLOCK TRACT ADDRESS9447 Pentland 91LE Of LOT [ NOW ON LOT CITY "O OF SLOG" T®mple City T[L NO 285-f USE OF SUILOIN.$ DISTRICT NO I GROUP MAP //P//qq..��J`J[l9SED BY CONTRACTOR Economy Plumbing stv � X �Z Wv ADDREG$ _^� CONNECTION DATA CITY Pasadena ry� TEL NO 793LIC -8101 STATION DEPTH STATELIC NS[ NO 24?190 CLASS 124_j. MAMH OLE REFERENCE NO DESCRIPTION OF WORK F[[ TYPE OF CONNECTIO" LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB M L TOP L PUBLIC SEWER a $T 00 PC NO SEPTIC TANK SEEPAGE PIT OR CO IMP NO 3pLML PITS AND/OR DRAINFIELD 0 BIG 00 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM C S300 CONNECT ADDIT ZONAL © AFFIDAVITDYVF[ FpFSuf RECORD INDTR NO DATE WORK TO HOUSE SEW[R Y D. OVERFLOW SEEPAGE PIT GRAINFIELD O E%TN CESSPOOL DRYWELL C $ S OO Cl ALTERREPAIR OR ABANDON HOUSE HWY OR ST WIDENING SEWER OR DISPOSAL SYSTEM Y S3 00 STAT[ENCROACHMENT CZ, H MANHOLE 0 $7 00 PERMIT NO IU INDUSTRIAL Q_ WASTE APPROVAL Tn Z CNARO[6 OWNER'S PERMIT f CONNECTION CHARGE I![ AUTHORIZATION TOTAL Fee 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED E%ISTINO DWELLING APPROVALS TO THE PUBLIC SEWER DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWN ERS AGE"T ,U FLOI TAD" wt ADDRESS SE TIC T D DR BND/OR GRA S PIT(6) MEREST THAT THE THAT I HAVE READ THIS APPLICATION AND/OR GRAINFIELD AND STAT[ THAT TME ABOVE ID CORRECT AND AOR[i TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OI SEWAGE DISPOSAL SYSTEM CA LI FOM NIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO 19CONNCCT PLUG ^NO RESIDE IN THE AS OE9CRIBED RCDI [NT4L PROPC Y 0 ABANDON HOUSE SEWER SIGN ATUR[ OF PE�MTTTC[ BACKFILL SEPTIC TANKS El EEP PITIR) ❑ CESSPOOLS ALMATION CR M 0 CASH 5 1 D 9,0 0 e a