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HomeMy Public PortalAbout5828 A & B RENO AVE_Sewer__ '08 70--63 6A642D APPLICATION FOR PERMIT -, � ,� ' 4 � '; `�j I, �Jd t,:✓'. COUNTY OF LOS ANGELES IT SEWER—SEVI�AG� DISE�C�SAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A.A. LAMBIE. County Engineer WILLIAM A. JENSEN, Sup'f of Building LOCAL:TY _9- .__ N AREST d FOR APPLICANT.' TO FILL IN �Ro S sT LEGAL._. U-SCR FTIOP! i 07 PfY ,�,' 9" (�j .";NER C/ y yy BLOCK TR:A Cff ADDRESS 51LEOF. LOT�7 jL''->,y`' '- TJ W CN LOT CITY TEL„ NO, USE OF BUIL.DINCS - D STRIC.'T NO. GROUP -Al �P,,J€3 ESSED BY TOR kt z- ADDRESS a � - -- CONNECTION DATA - --- - —-- r ——t--- — CITY TEL. N '� "✓ s'�`',' STATION DEPTH SPATE MANHOLE REFERENCE UP REGISTRATION Pio COUNTY _ L.OWmR _ ._ _- _ _-- --_—. _._ NO L,E CRIF IOrJ OF—WORK PEE — --C -- - J -- --- .. _--.r. .YPE O,f,+Ctl CONNECTION iUN ENGT�H FRQM .+OUSE SEWER C ONM1,ECT ING TO' Y r CURB P L M.L.TO P.L. f FBLI SEWER $5 00 _ SEPTIC TANK S E F-IT_pR _ -Y Y� P C.NO. !. FETA I —I .R 1- ' JOB NO. . - PITS AND,'OR DRAIY IEL.D @ 814.04 CO,IMP NO. .�_ HOUSE SEWE COhh _TING TO __ _ _—_—_ TRUNK PERMIT NO. ROAD PERMIT NO. i PRIVATE DISPOSAL,SYSTEM @ $3.40 0 __.— ._..__ �_ L__-__- _.__-.-_ -_ �COPJNECT ADDI7iOPJAL BLDG OR. 7 ''���. AFFIDAVIT WAiY£R� EAS£MFHT� R€COPD.!NSTR PV O. DAT'Cv - O WORK TO HOUSE SEWER C $3.40 J I OVERFLOW SEEPAGE PIT,DRAINFIELG s XTN..CESSPCOL,GRY WELI.,MAFlH OLE @ 55.00 -; - -----s------ HWY.GR ST.WIDENING E:RI W.POSAL.SYSTEM --. @ $3.30 _ �S - ___ACH_- -__-_- AL LR,RFPA r'OF'ABANDON HOUSE I STATE EIN ROM EN T - I _ PERMIT NO. - - m. _ INDUSTRIAL WASTE APPROVAL OWNER�� � c CHARGES S PERMIT _ _ / ? 00_ CONNECX ON CHARGE PEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE -iHAVE AT THIS DATE A CONTRACT WITH THE,,H€REIN NAMED CON- T R A-To ON-TRACTOTO O CONNECT THE ABOVE DESCRIBED EXJarING DWELLING ----_ _____ ,— TO THE Pk B1..`: SEINER. �•'� APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF I OWNER OR ,,.rr s,.+" NEW HOUSE SEWER I OWNERS.AG:ENT ,t''� _�. .—_- CONNECT ADDITIONAL ' BUILDING OR WORK ADDRESS, _ SEPTIC TANK.:SEEP.PITS? `I HFREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLtCATIDN AND/OR DRAINFIELD AND STATE THAT' THE ABOVE 15 CORRECT ANI] AGREE TO COhAPLY —.-- __..__._.._-. WIT H ALL COJNTY ORDINANCES AND STATE LAWS REGULATING I PLU MB.NG AND' ND SEWERS. 'CESSPOOL ❑ DRYW ELL t HEREBY CERTIFY THAT i AM PROPERLY REWSTERE.D AND/OR ALTER,REPAIR.SEWER OR I � i.!CENSED AS REQUIRED 8Y LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM ! CALIFORNIA OR i"HAT,YA THE LEGAL 7J'dN Eft dJF, AyVC INTEND TO —___. _._ ,_— �� . ' - DISCOY NECT PLUG AND RESIDE IN ;, THE tvVE-I'SCRiBEO R PENT'!A L PR'OFERTY. ,,,�� > ABANDON HOUSE SEWER I .7FPER.MIT7k - _.� BACKFILL SEPTIC TANKS SPP.PIT<S) (�I CEaSPOOLB. p; VALIDATION ROBERT A. WOOD CK. M,O. CASH SUPERVISING. MECHANICAL ENGINEER I,. .... -.. � 1. �.. ..