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Home My Public Portal About10657 SPARKLETT ST_Sewer__ 76A6AZD APPLICATION FOR PERMIT TBA COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION "GILDING /O JOHN A LAMBIE COUNTY ENGINi[R ADDRE"6 —G 7" 73 iQ- P COLEMAN W JENKINS SUPT OF BUILDING l- LOCALITY � FOR APPLICANT TO FILL IN NEAREST (PRINT OR TYPE ONLY) cRGO 6 ST LEGAL DESCRIPTION LOT No OWNER BLOCK TRACT ' MAIL a a MAILADDRESS ��f✓I NO OF SLOGS SIZE OF LOT NOW ON LOT PMANHOLEREVERINCK TEL NO USE 01 MO "ROUP CLASS MAP gOLLl3l0 0Y BUILDINGS eL PfcoNTRAcronADDRESS � �J^JCONNE ON DATCITY T[L NO ^ / / �' DEPTHSTAT[ '1 LIC !REIG[NC[ UPPER LIC[H[C NO y OLABBLOWER NO DESCRIPTION OF WORK PRE [OF N[CTION LENGTH FROM HOUSE SEWER CONNECTING TO C P L M L TO PLEVOLICS[WER ["OoPC NOSEPTIC TANK S[[PAGC PIT ORPITS AMD/OR DRAINFICLO Q BIOOD No PC NONOUSESEWER CONNECTING TO ERMIT NO AD PERMIT NO PRIVATE DISPOSAL SYSTEM Y S3 OO yCONNECT ADDITIONAL SLOG OR IT RARE• EAt�S�RT RCCORp NO DATE O WORK TO HOU GESEWCn C f]OOOVERFLOW SEEPAGE FIT GRAINFIELD E[TN CESSPOOL DRYWELL MANHOLE O SS00 ST WIO[NINO ALTER REPAIR OR ABANDON HOUSE IIIO�� SEWER OR DISPOSAL SYSTEM S]OO STATE ENCROACHMENT LJ FNMHOUSESEWER D' h {y�}�p� OVAL Z TT�ovnmrS PE9MIT f CHARD" AV A{IOiy(y3 ION rorAL FEE CONNECTION CHARGE IEE 1 HAVE AT THIS DATE A CONTRACT WITH THE MCR[IN NAMED CONENT FE[ TRACTOR TO CONNECT THE ABOVE D BET BEDDWELLING TO THE PU"LIC B[ IRMPLIS DATE INSPECTOR"SIGNATURE SIGNED THIS DAY OF 1y� OWNER OR SEWER OWNERS AOCNT CONNECT ADDITIONAL ADDRESS BU ILDINO OR WORK 1 MGESV ACKMOWLEOG[ THAT I MAV[ READ THIS APPLICATION 6[PTICTANK BEEP PIT(6) AND/OR GRAINFIELD ANO STATE THAT THE ABOVE 16 CORRECT AND AGREE 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 S[WCR OR LICENSED AS REQUIRED EY LOS ANGLES COUNTY D STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR M TM[ L[pAL OW M[R OF MD I NO TO DISCONNECT PLUG AND REBID[ IN TN SOVE [SCR ED R[610 . IAL ABANDON H OUSE SEWER f101 AP[RNfTTCC SACK II LL SEPTIC AN ❑ BEEP PITIS) ❑ CE6BIOOLD Er JACK R ALLEN SUPERV NG MECHANICAL ENGINEER ,4rl+�/mac-� -c�. �(JI LAC;07073NJL1981D91250- 1 VA-10 76A 642D-CE60e-10-11 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION euILDINa �/c J ADORES• V ✓ I LOCALITY ( , NEAREST FOR APPLICANT TO FILL IN LROB. ST 6w 2444�Lr aA DExRIPTION LOT No OwneR MAIL BLOCK TRACT y ADDRESS SIZE 01 IGT GG x NOW ON6 LOTLDGO �O ` cm TEL No U[E Or ISU1 LONG DISTRICT NO GROUP MAP PROCESSED BY eR r�CONTRACTOR ��O ADDRESS D a- CONNECTION DATA cITY T[L NO ysa7 ` STATION A H STATE LIC — / VAFCEORENCE/ AUPPER LICENSE ND LLA[[ INO DESCRIPTION OF WORK FE[ NN ICTIO LINOTN FRHOUSE[EWCR CONN[CTINO TO U Re r L M L TO r LPUBLIC SEWER 0 fT 00 SEPTIC LANK SEEPAGE PIT OR PITH AND/OR GRAINFIELD [IO OOHOUSE SEWER CONNECTING TO O ROAD PERMIT NOPRIVATE DISPOSAL SYSTEM 0 •S00 OCONNECT ADDITIONAL SLOG ORYI[ [U[IIWORK TO HOU S[SEWER Q []00 OVERFLOW SEEPAGE PIT GRAINFIELD BE EIITN CESSPOOL ORYWELL 0 [H OOHWY OR[T WIDENING O ALTER REPAIR OR ABANDON HOUSE u SEWER OR DISPOSAL SYSTEM 0 SS GO STATE ENCROACHMENT Iy MANHOLE 0 $7 00 PERMIT NO A. INDUSTRIAL h WAST[APPROVAL O 'S ERMIT 9 00 CHARGES AUTHORIZATION r TOTAL FEE CONNECTION CHARGE F[[ I HAVE AT THIS DAT[ A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ASOVH DES ED EEISTINa DWELLING APpROVAIS TO THE PUBLIC SE R G T! I PECTOR 6 SIGNATURE SIGNED THIS DAY OF 19 OWNER OR NEW HOUBE SEWER OWNERS AOCNT CONNECT ADDITIONA P IL— ADDRESS BUILDING OR WORK 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK BEEP FITIS) AND/OR DRAIN FIELD AND STATE THAT THC ABOVE I• CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ❑ PLU MS AND •EWERS CESSPOOL ❑ DRYWCLL 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR ALTER REPAIR HEWER Ofl _ LICENSCO AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT 1 AM THE LEGAL OW N[fl P AND INTEND TO DISCONNECT PLUG AND RESIDE IN THE AB Df RIS[D RE NTI PR RTY ABANDON HOUSE SEWER HIOF ATURK P!MTTTCE BACNFILLSEPTIC TANK, ❑ IS BEEP PITT S6100L8 VALIDATION k., CK `- -O CASH LtD7 0 7 6:3 .NL19 1 0 D 1 O.00� 76A 641D-CE[0[-10-71` APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEW E DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING D ADDRESS U 73 �a Loulrry FOR APPLICANT TO FILL IN cnvae{nT LEGAL DESCRIPTION LOT NO OWNER 4 MAIL BLOCK TRACT ftl , 31 L 9 ADDRESS NO OF BLDOe SIZE OF LOT NOW ON LOT / CITY TEL NO BUILDINGS OF DISTRICT NO OROUP MAP CE35ED BY BUILDINGS T [R ry"RO CONTRACTOR log .Y - !/ C ` Aoofl[ff CONNECTION DATA CITY TEL NO y a277 'Z STATION7t7 /LD[PTH Brw7E oQ S uc _� uflnn LICENSE NO S�/ CLASS MANHOLE REFERENCE NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH OM HOUSE SSW[R CONNECTING TO Y CUR[ MIL TOPIL PUBLIC 0 $7 00 SEPTIC LANK SEEPAGE PIT OR PC NO 73 PITS AND/OR DRwINFI ELD 0 SIG DO CO IMP NO JOB MOa NOUS!SEWER CONNECTING TO T11UMK PERMIT NO ROAD PERMIT NO Cl. PRIVATE DISPOSAL SYSTEM 0 !300 O CONNECT ADDITIONAL BLDG ORAIIIpAVIT SAIIIR lUISISI RECORD INSR MO OAT! u WORK TO HOUSIE SMER 0 {300 Q D OVERFLOW![[PAGE PIT DRAINFIILD DE KXTN CESSPOOL DRYWELL 0 [S OO Q ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING 0 {EWER OR DISPOSAL SYSTEM 0 [300 STAT[ENCROACHMENT MANHOLE 0 $7 DOJAPPLICATION PERMIT NO 6 INDUSTRIAL ��ES�+p Q WASTE APPROVAL owNE[L,J pm4,T f00 CHARGES AUTHORIZATION TOTAL FEE CONNECTIOX CMAflO[IEEI HAVE AT THIS DATE A CONTRACT WITH THE HEREICON REIMBURSEMENT P[[ TRACTOR TO CONNECT THC ABOVE DESCRIBED EXISTLLING *nPROVTOTHEPUBLIC !1C D T[ IN roR e e NATURE SIGNEDTHIS DAY OF �` 9HER OR ryEW HOUSE SEWER OWNAGENTCONNECTADDITIONAL BUILDINO OR WORK SEPTIC1 HEREBY ACKNOWLEDGE THAT 1 HAV[ READ THITION AND/O TANK SEEP PITIS) •ND/Oq DRAINII[LD ANO STAT[ THAT TN[ ABOVE IB CORRECT AND AORA ILYWITHALL COUNTY ORDINANCES AMO BTATC LAWATIXOPLUMBING AND SEWERS CESSPOOL ❑ DRYWLLL1M[RCSY C[RTIPY TXAT I AM MOKRLY RCOISTp/OR ALTER REPAIR fQWSROR LICENSED AS REQUIRED BY LOS ANGLES COUNTY E OF !!WAGE DISPOSAL SYSTEM L ALIFORNIA OR THAT THE LEGAL OWNER OFD TO DISCONNECT PLUG AND ESIDE IN TH! A SCRIBED R[SIOC AL P P[ •BAH HOUSE BIWBR IGNATURE OF PLRMRT![ BACK IL SEPTIC TANKS ❑ •TT !CCP 1 ISI eelooLs VMMATIO CK MO CASH IN LAC,oW •A oA35N 410D 6.00"