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Home My Public Portal About6153 RENO AVE_Sewer__ 660043-62 A642D APPLICA�ON FOR MI 4 17 COUNTY OF LOS ANGELES SEWER- WAGE DISPO)AIL 4466 3399 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRES COLEMAN W. JENKINS, SUPT. OF BUILDING LOCAL LITY TY NEAREST FOR APPLICANT TO FILL IN ROSS —LEGAL-_LOT N CV� OWNER DESCRIPTION _ O. MAIL B2" BLOCK TRACT ADDRCSSIO NO. OF LX� SIZE OF LOT NOW ON LOT 1-- CITY TEL. NO. USE OF BUILDINGS DISTRICT NO.1 GROUPI MAPPROCESSED BY SK P I G CONTRAoCTOR ADDRESS CONNECTION DATA STATION T DEPTH NO. STATE LIC UPPER LICENSE NO, CLA.5 MANHOLE REFERENCE LOWER NO DESCRIPTION OF WORK FEE LENGTH FROM —Fl;L.ULSISE E SEWER CONNECTING 70 Y. CURB P.L. M.L.TO P.L. iL P IWER $5.00 I —— P.C.NO. �FPTIC TA PAGE PIT OR JOB NO. 0 ,ITS AND/OR DRAINFIELD @ slo.00 CO.IMP,NO. L) I HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 0 E CONNECT ADDITIONAL BLDG.OR AFFIDokV i I EASEME FTR NO WORK TO HOUSE SEWER @ 83_00 u _OVERFLOW SEEPAGE PTT.DR"IFTELDLu EXTN..CESSFOOL.DRYWELL,MANHOLE@ $5.00 I ALTER.REPAIR A ALTER REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING _ SEWER OR-DISPOSAL SYSTEM @ $3,00 NCM � - �TATEEFACHMENT g PERMIT No. 0A TC--"11�V INDUSTRIAL. WASTE APPROVAL -S OWNER'S PERMIT $ 2' 00 _________CHARGE C-1-1—TION CHARGE FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON RE-IMBURSEWENTFEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INS CTOR'$ 11 ATURE SIGNED THIS_-DAY/OF OWNER OR NEW HOUSE SEWER OWNERS AGENT— 4-L CONNECT ADDITIONAL BUILDING OR WORK --E P SEPTIC TANK,SE ,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE A.-V; IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY R., VN STATE LAWS REGULATING PLUMBING AND SEWERS. RS.. CESSPOOL [I DRYWELL ❑ R PERL RE AIR,SEWER OR 0 0 — -_- I- I HEREBY CERTIFY T_ T I A ISTER AND/OR ALTER,REPAIR. LICENSED AS REQUI BY L G U Y AN STATE OF SEWAGE D SPOSAL SYSTEM CALIFORNIA A OR TH M THE AE NER F, A INTEND TO DISCONNECT PLUG AND RESIDE IN, THE DESCRIBEDR _D TIA PR PERTY. ABANDON HOUSE5EWER SIGNATU RE- - I BACKFILL.SEPTIC TANKS ❑ OF PERMITTEE SEEP.PIT(s) El CESSPOOLS Ell ALIDATION -- JACK R. ALLEN ISUPERVISING MECHANICAL ENGINEER C/K M.O. ;_AS. ;-j L 411 :EBS& 12-49 78A 6420 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F-A. G ? JOHN A. LAMBIE. COUNTY ENGINEER Jj� f °} COLEMAN W. JENKINS, SUPT. OF BUILDING . Y FOR APPLICANT TO FILL IN T. LEGAL ,tr DESCRIPTION LOT NO. OWNER - MA / L •� e BLOCK TRACT � c) •J ADORIES NO. OF SLOGS. •-�+. :t ` .r r SIZE OF LOT NOW., LOT CITY `,. -' - TEL. NO. USE OF BUILDINGS DISTRICT NO. ROUP MAP PROCESSED BY SK PG R CONTACTOR y � �.r" h �r•+/ �/ ADDRESS } t 1..•'? W' CONNIECTION D7ATA y CITY ,q., ,% T . NO. STATION "!,./�I` ? DEPTH ..i 7 STATE LICMANHOLE REFERENCE � / J UPPERR LICENSE NO: CLASS [ ` NO, DESCRIPTION OF WORK FEE TYPE OF C TION LENGTH FROM ej. HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. y/ PUBLIC SEWER S5.00 SEPTIC TAN K,SEEPAGE PIT OR P.C.NO. PITS AND"ORDRAINFIELD @ $IO.00 CO.IMP,NO. JOB NO. HOUSE SEWER CONNECTING TO ~— C PRIVATE DISPOSAL SYSTEM $3.06 TRUNK PERMIT NO, ROAR PERMIT NO. L CONNECT ADDITIONAL BLDG.OR AFFIDAV 17 wAIY=711m,"T RECORD.INSTR.NO--r--_DATE WORK TO H SEEP SEWER $3.00 OVERFLOW SEEPAGE DRY IT DRAIN FIELD I __� N CESSPOOL, n8 $5.00 — " ` -- HWY. OR ST.WIDENING CJ I E R�DR ABANDON HOUSE 00 L--A _SEWER - _ ® $3.00 I ��V"� - STATE ENCROACHMENT C- i- ��+••''"" d PERMIT NO. � +I{- INDUSTRIAL WASTE APPROVAL CHARGES OWNER'S PERMIT-..--- s 2 00 -- AUTHORIZATION TOTAL FEE I 57 CONNECTION CHARGE FEE -- IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO.CONNECT THEA ABOVE DES C BED EXISTING DWELLING APPROVALS TO THE PUBLIC 'WE C DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 1g --- ----- -- ---- OWNER OR _ NEW HOUSE SEWER OWNERS AGENT — ---------- v, CONNECT ADDITIONAL ADDRESS 4 6 UILD)NG OR WORK - PTIC TANK,SEEP,PIT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLtCA AND/OR ORAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COM WITH ALL COUNTY ORDINANCES ANC/ STATE LA W5 REGUL.ATIN PLUMB ING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICEN SEDAS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORN 1A OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN. THE ABOVE DESCFIBED RE S IDENTIAL PROPERTY. t_ I ABANDON HOUSE SEWER SIGNATURE -'---'----- OF PER MTTTEE BACKFILL SEPTIC TANKS ❑ - -- ---- ----------- SEEP.PIT(S) ❑ CESSPOOLS ❑ - VALMATION JACK R. ALLEN ;CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER 7 S0 1 0 1 0 it tS.f 0 ±t. E808 3.62 6A642D APPLICATION FOR PERMIT LJ COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BU LLDING D D . 4� -5 3 Al JOHN A. LAMBIE. COUNTY ENGINEER ADORE SS COLEMAN W. JENKINS, SUPT. OF BUILDING AD -7 BU j NEAREST FOR APPLICANT TO FILL IN CROSS ST. _DESCRIPTION LOT NO.� k aZ, 5'rl OWNER MAIL BLOCK TRACT ADDRESS NO. OF BLDG5. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF DISTRICT NO. GROUP' MAP I PROCESSED BY BUILDINGS SK PG CONTRACTORvA Ife DCA 5'6-C ADDRESS &_lr��a/Y Ar-lit CONNECTION DATA STATION CITY IV"r,?�;PTEL_ .0 vw'/ STATE LIC MANHOLE REFERENCE UPPER LICENSE NO, /,z CLASS z NO. .DESCRIPTION OF WORK FEETY('E OFC0'ON LENGTH FROM e HOUSE SEWER CONNECTING TO Y. ?=R P-L. M-L.TO P.L. > PUBLIC SEWER S5.00 iv ,--? / a- P.C.NO, 0 SEPTIC TANK SEEPAGE PIT OR NO. JOB NO. PITS AND"OR DRAINFIELD Co. IMP. HOUSE EWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM $3.00 -Ek I EASEMENT RECORD. 0 CONNECT AFFIDAVIT I WAIV ...INSTR,N GATE WORK TO HOUSE SEWER @ _53.00 u EXTN.,CES SPOOL.DRYWEL L.MAN HOLE@ $5,00 CL ___+W_L MR-R EPA_lR_(:5R_T 9A_ND_O N-H 61Js`E_____ Hwy.OR ST.WIDENING (f) i -__ - z 6 SEWER OR DISPOSAL SYSTEM @ $3:0 R STATE ENC ENCROACHMENT PERMIT NO. INDUSTRIAL. WASTE APPROVAL CHARGES OWNER'S PERMIT $ 21 00 ONNECTLON CHARGE FEE AUTHORIZATION TOTAL FEE C I HAVE AT THIS DATE A CONHEREIN NAMED CON- REIMBURSEMENT T RACT WITH THE EFEE TRACTOR CTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE, PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS D 0 19 OWNER 00 NEW HOUSE SEWER OWNERS �l 1� r -- AGENT CONNECT ADDITIONAL -4 ADDRESS BUILDING OR WORK SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRA!Nj7lF_LD ANO SiATC THAT THE ABOVE IS CORRECT AND AGREE! TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ABOVEPLU M5 ING AND SEWERS. CESSPOOL Cl DRYWEL.L El IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR At-TER,REPAIR,SEWER OR L,C ENSED AS REOU)RED By L OS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CAL)FORN I A OR THAT I AM THE LEGAL OWNER OF, END TO A - DISCONNECT PLUG AND RESIDE DE IN. THE ABOVE OESC RI a ED RESIDENTIAL R_ 'E:RN'TY. ABANDON HOUSE SEWER SIGNATURE OF PERMITTEEs BACKFILL 5 C!E55POOL JACK R. ALLEN CK. M O. CASH SUPERVISING MECHANICAL ENGINEER LAW 3494;a Wl 81 '3 D 7.00-