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HomeMy WebLinkAbout1120 CAPE AIRE LN; ; SE680270; PermitCITY OF CARLSBAD BUILDING DEPARTMENT SEWER 3-5* PERMIT - APPLICATIONntu _7-r,« b .:- mn*****UN -3-f JUN-3-68 5'cr *O'J.v/} 03?**** ***b.uU FOR APPLICANT TO FILL IN LEGAL /f,, DESCRIPTION LOT NO. J^ BLOCK TRACTLjT* Pf" $ I ft? ^'fa? USE OF A\ / ' BUILDINGS f ) f_ t > / ,. >2"7 / / /"> , iCONTRACTOR /If ">? <.-? Itf <j J^ f It* ? ADDRESS </-/ CITX iff. /^l <>J}£Z.{l TEL. NO. CONTRACTOR'S STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO.DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.OO SEPTIC TANK, SEEPAGE PIT OR PITS @ $5.OO OVERFLOW SEEPAGE PIT, DRA1NFIELD EXTN., CESSPOOL, DRYWELL, MANHOLE @ $5.OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.SO CONNECT ADDITIONAL BLDG. OR ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $Z.OO @ $ ^N\A/MCD'C PFRMIT SB AUTHORIZATION TOTAL. FEE 1 HA CONING SIGNOWNOWN ADDF I APPLAND STATI AND BAD OWN ERTY SIGN O 3 oc^ • — z oo VE AT THIS DATE A CONTRACT WITH THE HEREIN FRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- TO THE PUBLIC SEWER. ER OR ?ESS , — HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS JCATION AND STATE THAT THE ABOVE IS CORRECT AGREE TO COMPLY WITH ALL CITY ORDINANCES AND E LAWS REGULATING PLUMBING AND SEWERS. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED /OR LICENSED AS REQUIRED BY THE CITY OF CARLS- AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL ER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ATURE 6 fr-s 7d BUILDING / , -7 n f"! _ /I . . ^ / ADDRESS / / X_ C C. ^' P & /I / f C S\C<.JJ£: "ACROSS ST. fy (Jf\ — >-?'7 S ^ 7^ s OWNER r( £* ~s*7£~s 1(1 t? s~~ ' t^ 1- <.'(."•{ y*{t MAIL f ' ADDRESS CITY/^*>^1 t^ / C° l~?(^* £f ^ TEL. NO. CONNECTION DATA Lateral Charge Computation 30' H., 10' V. © 4" — h" — ArJfJ 1 InriT (5) 4" A" Add. Vert. ® 4" — h" — I00/, Service Chargn Totfli 1 ntRrnl Chnrgn Let. No.: Logged in Plat: LINE COST DATA A. D. & Assmt. Nn LINF CQ£t- c. c. W_^"O / ^wnii;n(] ^ ^O ' CO P. S. @_ __ / HwBllinfj OTHPR // *s *Z~/~\ (O S")TOTAI //•~^> ^ — ' ' ' Grand Totnl I atnrnl fltr. SO , O O FOR SEWER LOCATION to <!n St. NORTH ENGH^BERING ) SEWER DEPT. Signed , ^ / ' ',' • ' Signed This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION