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Home My Public Portal About5932 RENO AVE_Sewer__ 6A642 6A642D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBKIN COUNTY ENGINEER LocAUTvW/�/f s '" ADDRESS COLEMAN W. JEN KINS. SUPT. OF BUILDING a _ _ T✓— NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL �� '+'r DESCRIPTfON_ _LOT NO�r +� - OWNER v MAI Y BLOCK TRACT ADD NO. OF BLDGS, ` SIZE OF LOT NOW ON LOT CITY EL. NO, USE OF - ,--� BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY CONTRACTOR_ -� ._—_.i_ v�7 r !.., _. �i1✓ 7 ADDREss_ i CONNECTION DATA CITY STATION DEPTH --- STATE LIC , .MANHOLE REFERENCE _UPPER LICENSE NO. CLASS LOWER NO. '� .DESCRIPTION OF WORK FEE _ TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER $5.00 ..—_ —__ -- __- P.C.NO. IMP.NO. . 0SEPTIC TANK SEEPAGE PIT OR JOB N0. u CO. PITS ANO/OR DRAINFIELD @ $10.00 HOUSE SEWER CONNECTING TO I TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM _@ 53.00 pY CONNECT ADDITIONAL BLDG OR AFFIDAVIT wAIVEN EASEMENT RECORD.INSTR.NO. DATE )� WORK TO HOUSE SEWER @ $3.00 - OVERFLOW SEEPAGE PIT DRAINFIELD — __7 _ W EXTN,CESSPOOL.DRYWELL MANHOLE @ $5.00 - 0' -+ -- - -- — ---- HWY.OR ST,WIDENING "eR ABANDON HOUSE 1 SEWER OA ML SYSTEM @ $3.00 1 STATE ENCROACHMENT - PERMIT NO. ----- INDUSTRIAL --------- —__T WASTE APPROVAL -- _ CHARGES OWNER'S PERMIT _$1 --- r CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ' - --------- - 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DES. RIBED EXISTING DWELLING - --' TO THE PUBLIC SE APPROVALS INSPECTOR'S SIGNATURE SIG NEDT DAY OF OWNER 0 _ NEW HOUSE SEWER 1 OWNER A ..CONNECT ADDITIONAL _ BUILDIN G OR WORK a AD _FESS _ SEPTIC TANK.SEEP.PITS) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY -- ------ — _ ----- WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING " PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICEN5EO AS REQUIRED Y LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM G ALIFORNIA OR THAT THE AL OWNER OF. AND INTEND TO DISCONNECT PLUG AND t RESIDE IN, THE AEF V DESCR RES1, NTI l PROPERTY, ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ a ( OF PERM E ----- SEEP.PI7I5) ❑ CESSPOOLS ❑I r" VALIDATION JACK R' ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER :' BA66A642D�i2 APPLICATION FOR PERMIT 42D COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ovgr COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS 5T DESCRIPTION LOT NO. OWNER ," MAIC _- BLOCK TRACT ADDRES,jr/r. NO. OF BLDGS. F- SIZE OF LOT NOW ON LOT CITY yR TEL. NO. USE OF BUILDINGS e* DISTRICT NO.1 GROUPI MAP PROCESSED BY BK PG - CONTRACTOR -,- ,E..4-- 1r�,�..-- 5- y� ';!' ` 2 '. ADDRESS 4 0 CONNECTION DATA_ _ CITY TE �+^►�_° ,� STATION Z�.}.-�--- DEPTH �r _ STA �.a''� LIC MANHOLE REFERENCE -- j UPPER NO, NSE_NO�,. �+°�`�1L CLASS �- 1 S /' 'EaWERu LICE _ _ P'`! --- .DESCRIPTION OF WO FEE _ TYPE OF CONNECTION LENS H? FROM T HOUSE SEWER CONNECTING TO Y. CURB Z P.L ' M.L.TO P.L. J PUBLIC SEWER @ $5.00 ---- _.__.. .-. .__- P C.NO. SEPTIC TANK SEEPAGE PIT OR _ PITS AND/OR DRAINFIELD Q $70.00 I CO.IMP. NO. �---- JOB NO• U .i- ___._. _ -.___ .-___-.__ HOUSE SEWER CONNECTING TO I TRUNK.PERMIT NO, ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ S3.00 p� . ._. 0.l CONNECT ADDITIONAL BLDG OR I - ,_ I AFFIDAVIT WAIVER EASEMENT RECORD.INSTR.NO. DATE �. WORK'i0 HOUSE SEWER @ S3,00 V OERFLOK- SEEPA--_GE PIT.DRA IN FIELD _ _ I � EXTN.,CE-SPOOL.DRY W£LL.MAN HOLE C� $5.00 I _�. HWY. OR ST.WIDENING All ER,REPAIR OR ABANDON HOUSE � t— SEWER OR DISPOSAL STATE ENCROACHMENT ---4—-L---- PERMIT NO_,-___,____ --'--- INDUSTRIAL --��---- _--`----- -- WASTE APPROVAL _.__..___-— CHARGES E �- OWNRS PERMIT_ $T 2' Oo --- --- -� CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE --- IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEME//N��T FEE TRACTOR TO CONNECT THE ABOVE DESCRIB" EXISTING DWELLING - APPROVALS TO THE PUBLIC SEWER. -- DATE 1NSP TORS SIGNAy3RE SIGNED THIS-—DAY OF - OWNER OR NEW HOUSE SEWER "OWNERS AGENT! JJJ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS ----- SEPTIC TANK.SEEP,PIT(S) 1 HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY — --- - WtTHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLMB ING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR LICENSE❑ AS REQUIRED BY LOS ANGLES COUNTY AND $TATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA 013, THAT I AM THE LECAL OWNER F, AND IN END TO DISCONNECT PLUG AND RESIDE11,eNl I, A Yfjvj�E ED RESIDE" L P AT � _•�16•,rf „- ABA"DON HOUSE SEWER BACKFILL SEPTIC TANKS ❑ --_---- SEEP,PITS) ❑ CESSPOOLS ❑ VALIDATION—" JACK R. ALLEN CK. M.p. CASH SUPERVISING MECHANICAL ENGINEER �