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HomeMy WebLinkAbout1160 CAPE AIRE LN; ; SE680274; PermitCITY Of CAPLSBAD BUILDING DEPARTMENT SEWER PERMIT - APPLICATION AUG29-68 !-£rZTO**»***! FOR APPLICANT TO FILL IN | O? O ~~ "^ ^/«W» 29-68 ^^TZTl®*******1 LEGAL y DESCRIPTION LOT NO. (j? BLOCK — TRACr-tf&42-^tt/C/C^*^ BUILDINGS JLiX-^_/"\l CONTRACTOR62^-^ O^-rf-^fO'-Ctxt.^ ADDRESS ^ CITY(Z«^t^-*^ZS>(/EL. NO. CONTRACTOR'S STATE V CARLSBAD BUSINESS LICENSE NO. LICENSE NO. NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO "> xfV*"?PUBLIC SEWER ® $3.OO -J> t>V> SEPTIC TANK, SEEPAGE PIT OR PITS 9 *5.OO OVERFLOW SEEPAGE PIT, DRAINF1ELD EXTN., CESSPOOL, DRYWELL. MANHOLE 9 $5.OO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 9 $I.5O CONNECT ADDITIONAL BLDG. OR WORK TO HOUSE SEWER 9 $1.5O ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ *2.OO 9 $ OWNER'S PERMIT $ 2 OO AUTHORIZATION TOTAI_ FEE ^@O \ HAVE AT THIS DATE A CONTRACT WITH THE HEREIN CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD- ING TO THE PUBLIC SEWER. OWNER OR ADDRESS • — — 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY WITH ALL CITY ORDINANCES ANDSTATE 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. X~S XI /? SIGNATURE At^n/^/r/OF PERMITTEE tf^~Vr''LrS . BUILDING if / /O/7,. ADDRESS // t£ L/L.*42tjtL-,2X»^2xX_X W^l > NEAREST /"£ _/7 11' O r/sCROSS ST. L^fTE//aL--71,I:Sc-^ ^ j— K^ , OWNER ^*C>_ -, Ax-Xi-^V J*» ^ J@MAIL '%t^-*"L /^*'V-~-' ADDRESS CITY ^^XJ^^-*-^ CONNECTION DATA Lateral Charge Computation 3D' H., 10' V_ © 4" — A" — At\A I l,-»i ;•! (f5) 4" - Add. Vert. @ 4" — Total \0% Service Charge Tot L«t. No.: A" -™ A" — rionstr^ftfnn <~^Tt ...'_,._ »l I xtBffll r.linrrjo _ LINE COST DATA A. D. » A«mt Mr, LINE CQ*-: c r <fe? P. S. O_ / rolling OTHER _ » **&o&& M TOTA, fcOiQO Grand Total, Lateral, etc. ^OLfciaSit. FOR SEWER S\ ., St. ENi/NJEERItj^ s;9n«^ Vy'L^i V LOCATION NORTH SEWER DEPT. Signflrl This is a Sewer Permit When Properly Filled Out, Signed and Validated Issued By PERMIT VALIDATION V