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HomeMy WebLinkAbout1130 CAPE AIRE LN; ; SE680271; PermitCITY OF CARLSBAD BUILDING DEPARTMENT SEWER PERMIT - APPLICATION AUG 29-68 ! FOR APPLICANT TO FILL IN LEGAL '> DESCRIPTION LOT NO. - J BLOCK TRACT rfif¥& USE OF jr S: ./ BUILDINGS j»&,'-^-£ V t x' ' f •'/ CONTRACTOR '-'"* ,-•*"• ~7, -'f ( ' /> •'{ £- -f •£. ''5 ADDRESS CITYC 1(f?.'\-k'2^L'Z?fr TEL. NO. ' /* -««-»*•t&KiZt&i ^T~ CONTRACTOR'S STATE ^ CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ :J3.OO SEPTIC TANK, SEEPAGE PIT OR PITS @ $5.OO OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.. CESSPOOL. DRYWELL, MANHOLE @ $5.OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $I.SO CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER @ $1.5O ALTER. REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ S2.OO @ $ ("IWMPR'S PERMIT 9 AUTHORIZATION TOTAU FEE J G& 2 OO fc^ sT X**1,^> kf "». ' I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. OWNER OR OWNER S AGEfl^J- SS?) ADDRESS ^p" — '^ ' 1 HEREBY ACKTrCWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS- BAD AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP- ERTY. SIGNATURE , AUlj '(". y -( ;H , rf~£/ou""" 6-y-37/ BUILDING / / ~7 /^ /? - -^ /? ^ ADDRESS / / > C (- ft'lfCi ~- i (- . NEAREST X"x / / .'"T4— *- CROSS ST./l^, ^fe f% -7,-j ' ^ x£/-i l~L f f — ^ "OWNER _,/*.„ ^a-^-7 C/i-^ >—=-v'rT.4_. MAIL ADDRESS ^ CITV^^-^^f^--«r\/ TEL" NO- CONNECTION DATA Lateral Charge Computation 30' H., 10' V. ® 4" — h" — Add. Vert. ® 4" = A" — Total Construction Co 10% Service Charge Total Lateral Chare Lat. No.: . Logged in Pla fri .- t < ^ —~*k ,t 0 t! LINE COST DATA A. D. & Assmt. No. LINE COTT: C. C. ®5O / HwB||ing P. S. © .._ / dwelling OTHER // #5O,OO /I& —-1 noTOTAI ^J ' -J-J Grand Total, Lateral, etc FOR SEWER LOCATION LO .St. EN^iN^ERI^ SEWER Signed . V^< ^ : . . Signnd #50.0O l-O NORTH DEPT. This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION